Individual provider Active NPI

William Paul Banish, MD

  • Surgery Physician
  • Matthews, NC
National Provider Identifier
1760468110
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2015-00687 Issued in NC
Practice address
1450 Matthews Township Pkwy Ste 250
Matthews, NC 28105-5331
Phone
(704) 841-1444
Fax
(704) 849-2520
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 19490 SC
Surgery Physician 208600000X 2015-00687 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy Ste 250
Matthews, NC 28105-5331

Mailing address

PO Box 604350
Charlotte, NC 28260-4350
Phone (704) 364-8100

Other practice location 1

10512 Park Rd Ste 101
Charlotte, NC 28210
Phone (704) 542-3631

Other identifiers 7

IdentifierTypeStateIssuer
770001362OtherSCBANKERS LIFE AND CASUALTY
9645030OtherSCGHI
620108OtherSCSELECT HEALTH
76051OtherSCMEDCOST
9377345OtherSCCIGNA
T37948MedicaidSC
1760468110MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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
I20100125000470 SC Practitioner - General Surgery 6305988668 Reassigns benefits to 3 organizations
I20181022003210 NC Practitioner - General Surgery 6305988668 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians
Novant Health Prep II LLCGroup PAC ID 1052835311, shared by 2 NPIs, 47 clinicians
DHP of North Carolina PCGroup PAC ID 1153570783, 26 clinicians

Practice addresses (Care Compare)

1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344

1721 Ebenezer Rd
Suite 175
Rock Hill, SC 29732-1188
Phone (803) 324-5256

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-0500

7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104

989 Ribaut Rd
Suite 220
Beaufort, SC 29902-5481
Phone (843) 524-8171

Hospital & facility affiliations

  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Dec 24, 2021 Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
Novant Health Prep II LLC Surgery Current Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Surgery CurrentSince Jan 20, 2022 Accepting new patients
Carolinas Physicians Network Inc Surgery CurrentSince Jan 20, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 20, 2022 Accepting new patients
DHP of North Carolina PC Surgery CurrentSince Mar 20, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 20, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
Novant Health Prep II LLC Surgery Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
Beaufort County Memorial Hosptial CurrentSince Dec 24, 2021 Accepting new patients

Locations

10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076

10030 Gilead Rd
Ste 245
Huntersville, NC 28078
Phone (704) 895-9390

441 McAlister Rd
Ste 2100
Lincolnton, NC 28092
Phone (980) 212-6250

1450 Matthews Township Pkwy
Ste 250
Matthews, NC 28105
Phone (704) 841-1444

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

1700 1st Baxter Xing
Ste 102
Fort Mill, SC 29708
Phone (704) 342-1900

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

1721 Ebenezer Rd
Ste 175
Rock Hill, SC 29732
Phone (803) 324-5256

Interoperability endpoints

  • Direct secure messaging: william.banish.1@16436.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1760468110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604350",
            "telephone_number": "704-364-8100",
            "fax_number": "704-365-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 250",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055331",
            "telephone_number": "704-841-1444",
            "fax_number": "704-849-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10512 Park Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28210",
            "country_code": "US",
            "telephone_number": "704-542-3631",
            "fax_number": "704-542-3646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANISH",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "19490",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2015-00687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANKERS LIFE AND CASUALTY",
            "identifier": "770001362",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9645030",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "620108",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "76051",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9377345",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T37948",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760468110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.