Individual provider Active NPI

Mindy Ann Banks, M.D.

  • Pediatric Nephrology Physician
  • Denver, CO
National Provider Identifier
1679765309
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
47656 Issued in CO
Practice address
2055 N High St
#330
Denver, CO 80205-5503
Phone
(303) 301-9010
Fax
(303) 832-3721
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036-114083 IL
Pediatric Nephrology Physician 2080P0210X 036-114083 IL
Pediatric Nephrology Physician 2080P0210X 47656 CO Primary

Addresses

Primary practice location

2055 N High St
#330
Denver, CO 80205-5503

Mailing address

4900 S Monaco St
Suite 210
Denver, CO 80237-3486
Phone (303) 301-9010

Other identifiers 6

IdentifierTypeStateIssuer
1679765309MedicaidWY
34734350MedicaidCO
128371500MedicaidWY
1679765309MedicaidSD
10025764100MedicaidNE
200635390AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MINDY.BANKS@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MS, LA, TN, AZ, AL, MA, ME, MI, OH, GA, WV, IA, TX14 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
I20140722001092 CO Practitioner - Neurology 4587880844 Reassigns benefits to 1 organization
I20220209002862 MS Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20220210002807 LA Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20220211001611 TN Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20220214000902 AZ Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20220215001138 AL Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20220405002179 MA Practitioner - Nephrology 4587880844
I20221109001018 ME Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20240822001606 MI Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20241121001382 OH Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20241212002626 GA Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20250820000264 WV Practitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20250821004157 IA Practitioner - Internal MedicinePractitioner - Nephrology 4587880844 Reassigns benefits to 1 organization
I20250827004640 TX Practitioner - Internal MedicinePractitioner - Nephrology 4587880844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5410 Maryland Way
Brentwood, TN 37027-8087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47656COMDPediatric Nephrology Physician
036-114083ILMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Jan 31, 2022 Accepting new patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Jan 31, 2022 Accepting new patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Oct 31, 2024 Accepting new patients
Monogram Health Professional Services of Colorado, PC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Jan 31, 2022 Accepting new patients
Monogram Health Professional Services of Texas PLLC Internal Medicine CurrentSince Jul 25, 2025 Accepting new patients
Monogram Health Professional Services of Iowa PLLC Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

1225 W Washington St
Ste 120
Tempe, AZ 85288
Phone (602) 536-6304

8354 E Northfield Blvd
Unit 3700
Denver, CO 80238
Phone (303) 390-0208

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

Interoperability endpoints

  • Direct secure messaging: mindy.banks.1@22854.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1679765309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-301-9010",
            "fax_number": "303-832-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N HIGH ST",
            "address_2": "#330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055503",
            "telephone_number": "303-301-9010",
            "fax_number": "303-832-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "MINDY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-114083",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "IL",
            "license": "036-114083",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "CO",
            "license": "47656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679765309",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34734350",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128371500",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679765309",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025764100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200635390A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MINDY.BANKS@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2055 N High St",
            "address_2": "#330",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.