Individual provider Active NPI

Hussam Eddin Tawfiq Moh'D Banna, MD

  • Ophthalmology Physician
  • Chapel Hill, NC
National Provider Identifier
1750810958
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101277520 Issued in VA
Practice address
2226 Nelson Hwy Ste 200
Chapel Hill, NC 27517-9638
Phone
(984) 974-2020
NPI assigned
Jun 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2020-03244 NC
Ophthalmology Physician 207W00000X 0101277520 VA Primary
Cornea and External Diseases Specialist Physician 207WX0120X 0101277520 VA

Addresses

Primary practice location

2226 Nelson Hwy Ste 200
Chapel Hill, NC 27517-9638

Mailing address

5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491

Other practice location 1

621 W Jubal Early Dr Ste D
Winchester, VA 22601-6510
Phone (540) 313-4435

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hbanna648699@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200915003731 NC Practitioner - Ophthalmology 9234557737 Reassigns benefits to 1 organization
I20230824001340 VA Practitioner - Ophthalmology 9234557737 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-03244NCMDOphthalmology Physician
0101277520VAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Ophthalmology CurrentSince Jul 15, 2020 Accepting new patients
Northern Virginia Eye Institute Ophthalmology CurrentSince Sep 1, 2025 Accepting new patients
Park Ophthalmology Ophthalmology Past Accepting new patients
Winchester Eye Surgery Center, LLC PastSince Mar 20, 2025 Accepting new patients
Mypotential Virginia, LLC PastSince Sep 1, 2025 Accepting new patients

Locations

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2226 Nelson Hwy
Ste 200
Chapel Hill, NC 27517
Phone (984) 974-2020

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444

781 Avent Ferry Rd
Ste 202
Holly Springs, NC 27540
Phone (984) 974-4040

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

621 W Jubal Early Dr
Ste D
Winchester, VA 22601
Phone (540) 313-4435

525 Amherst St
Ste 102
Winchester, VA 22601
Phone (540) 667-5535

Interoperability endpoints

  • Direct secure messaging: hbanna648699@direct.unc.nchie.net

Organizations & group practices 5

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1750810958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 420",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 NELSON HWY STE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179638",
            "telephone_number": "984-974-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 W Jubal Early Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226016510",
            "country_code": "US",
            "telephone_number": "540-313-4435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNA",
        "first_name": "HUSSAM",
        "middle_name": "EDDIN TAWFIQ MOH'D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-09",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2020-03244",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101277520",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "VA",
            "license": "0101277520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hbanna648699@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2226 Nelson Hwy Ste 200",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275179638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.