Active NPI
Melinda D. Banister, M.D.
- Surgery Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- L6775
- Practice address
- 4505 15TH St
Lubbock, TX 79416-4809 - Phone
- (806) 793-3510
- NPI assigned
- Nov 30, 2005
- Last updated
- Jan 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | L6775 | TX | Primary |
Addresses
Primary practice location
4505 15TH St
Lubbock, TX 79416-4809
Mailing address
4505 15TH St
Lubbock, TX 79416-4809
Phone (806) 793-3510
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101068101 | Medicaid | TX | |
| A564 | Other | NM | TRIWEST |
| 158778402 | Medicaid | TX | |
| 101068100 | Other | TX | FIRSTCARE COMMERCIAL |
| 200010850A | Medicaid | OK | |
| 201042058 | Other | NM | PRESBYTERIAN COMMERCIAL |
| 8G0352 | Other | TX | BC/BS |
| 201042058 | Medicaid | NM | |
| 87380Z | Other | TX | HMO BLUE |
| 158778401 | Medicaid | TX | |
| 73734322 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Nebraska College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 NW 8TH St
Memorial Hospital
Seminole, TX 79360-3447
Phone (915) 758-5811
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timberland Medical Group | Current | Accepting new patients | |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Seminole Hospital District of Gaines County Texas | Current | Accepting new patients | |
| Timberland Medical Group | Surgery | Current | Accepting new patients |
| Lamb Healthcare Center | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Big Bend Medical Group | Current | Accepting new patients | |
| Big Bend Medical Group | Surgery | Current | Accepting new patients |
| Seminole Hospital District of Gaines County Texas | Current | Accepting new patients | |
| Lamb Healthcare Center | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Past | Accepting new patients |
Locations
1501 W 11th Pl
Ste 100
Big Spring, TX 79720
Phone (432) 263-6018
1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700
2301 S Gregg St
Big Spring, TX 79720
Phone (432) 267-5531
1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411
7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048
1004 Hobbs Hwy
Ste 4
Seminole, TX 79360
Phone (432) 758-4777
209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811
Interoperability endpoints
- mbanis02@yourcarecommunity.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Memorial Hospital
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- General Acute Care Hospital
- Littlefield, TX
- NPI 1700854288
-
- Rural Health Clinic/Center
- Big Spring, TX
- NPI 1790592004
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
dba Olton Rural Health Clinic
- Rural Health Clinic/Center
- Olton, TX
- NPI 1912352584
-
dba Seminole Community Pharmacy
- Community/Retail Pharmacy
- Seminole, TX
- NPI 1427618461
-
- Durable Medical Equipment & Medical Supplies
- Cedar Park, TX
- NPI 1023790045
-
dba Inscription House Health Center
- General Acute Care Hospital
- Tonalea, AZ
- NPI 1740359108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1770567109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 15TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794164809",
"telephone_number": "806-793-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 15TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794164809",
"telephone_number": "806-793-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANISTER",
"first_name": "MELINDA",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "L6775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101068101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "A564",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158778402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE COMMERCIAL",
"identifier": "101068100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200010850A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN COMMERCIAL",
"identifier": "201042058",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8G0352",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201042058",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "87380Z",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158778401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73734322",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.