Individual provider Active NPI

Melinda D. Banister, M.D.

  • Surgery Physician
  • Lubbock, TX
National Provider Identifier
1770567109
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L6775 Issued in TX
Practice address
4505 15TH St
Lubbock, TX 79416-4809
Phone
(806) 793-3510
NPI assigned
Nov 30, 2005
Last updated
Jan 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101068101MedicaidTX
A564OtherNMTRIWEST
158778402MedicaidTX
101068100OtherTXFIRSTCARE COMMERCIAL
200010850AMedicaidOK
201042058OtherNMPRESBYTERIAN COMMERCIAL
8G0352OtherTXBC/BS
201042058MedicaidNM
87380ZOtherTXHMO BLUE
158778401MedicaidTX
73734322MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000112 TX Practitioner - General Surgery 6002966405 Reassigns benefits to 6 organizations

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

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Aug 4, 2011 Accepting new patients
Concord Medical Group PLLC CurrentSince May 13, 2011 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Jul 4, 2020 Accepting new patients
Timberland Medical Group Surgery CurrentSince Aug 4, 2011 Accepting new patients
Lamb Healthcare Center CurrentSince Feb 20, 2011 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 13, 2011 Accepting new patients
Big Bend Medical Group CurrentSince Dec 1, 2015 Accepting new patients
Big Bend Medical Group Surgery CurrentSince Dec 1, 2015 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Jul 4, 2020 Accepting new patients
Lamb Healthcare Center CurrentSince Feb 20, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.