Individual provider Active NPI

Tara Nicole Banaszek Daming, M.D.

  • Maternal & Fetal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1750656955
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
2016016743 Issued in MO
Practice address
621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Phone
(314) 991-5000
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2016016743 MO
Maternal & Fetal Medicine Physician 207VM0101X 2016016743 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265

Mailing address

621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Phone (314) 991-5000

Other practice location 1

10004 Kennerly Rd Ste 395B
Saint Louis, MO 63128-2190
Phone (314) 991-5000

Other practice location 2

615 S New Ballas Rd Ste 1211
Saint Louis, MO 63141-8221
Phone (314) 991-5000

Other names 1

  • Tara Nicole Banaszek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160721000830 MO Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 8022309111 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Maternal Fetal Medicine, LLCGroup PAC ID 5294000485, 16 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
2007B
Saint Louis, MO 63141-8265
Phone (314) 951-5000

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Sep 3, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Sep 3, 2019 Accepting new patients
Mercy Womens Services LLC Obstetrics & Gynecology CurrentSince Sep 3, 2019 Accepting new patients
Mercy Clinic Maternal Fetal Medicine LLC Maternal & Fetal Medicine CurrentSince Sep 3, 2019 Accepting new patients

Locations

621 S New Ballas Rd
Ste 3015
Saint Louis, MO 63141
Phone (314) 251-2900

10004 Kennerly Rd
Ste 395B
Saint Louis, MO 63128
Phone (314) 849-3500

621 S New Ballas Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 951-5000

621 S New Ballas Rd
Ste 2007B
Saint Louis, MO 63141
Phone (314) 951-5000

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

615 S New Ballas Rd
Ste 1211
Saint Louis, MO 63141
Phone (314) 991-5000

621 S New Ballas Rd
Ste 2009B
Saint Louis, MO 63141
Phone (314) 251-6062

Interoperability endpoints

  • Direct secure messaging: tdaming1032926@directc.mercy.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1750656955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2007B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-991-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2007B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-991-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 Kennerly Rd Ste 395B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282190",
            "country_code": "US",
            "telephone_number": "314-991-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 S New Ballas Rd Ste 1211",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418221",
            "country_code": "US",
            "telephone_number": "314-991-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMING",
        "first_name": "TARA",
        "middle_name": "NICOLE BANASZEK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2016016743",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "2016016743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "BANASZEK",
            "middle_name": "NICOLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.