Individual provider Active NPI

James C Banich, MD

  • Plastic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1801087044
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
DR0059047 Issued in CO
Practice address
9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023
Phone
(719) 355-1585
Fax
(719) 623-2983
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X DR0059047 CO Primary

Addresses

Primary practice location

9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023

Mailing address

9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023
Phone (719) 355-1585

Other practice location 1

2620 Tenderfoot Hill St Ste 110
Colorado Springs, CO 80906-8356
Phone (719) 355-1585

Other practice location 2

5700 N Elizabeth St
Pueblo, CO 81008-2166
Phone (719) 355-1585

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170823001650 CO Practitioner - Plastic and Reconstructive SurgeryPractitioner - OtolaryngologyPractitioner - Other (Physician) 4082707302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13492 Bass Pro Dr
Suite 100
Colorado Springs, CO 80921-3852
Phone (719) 355-1585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as group
Quality
86.72
Promoting interoperability
100
Improvement activities
40
Cost
72.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision295
Removal of skin lesions1-10
Skin biopsy19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Specialists LLC Dermatology Current Accepting new patients
Vanguard Medical Specialists LLC Dermatology CurrentSince Sep 22, 2017 Accepting new patients
Vanguard Medical Specialists, LLC Dermatology CurrentSince Sep 22, 2017 Accepting new patients
Vanguard Medical Specialists, LLC Dermatology Past Accepting new patients

Locations

109 Latigo Ln
Ste F
Canon City, CO 81212

1175 S Perry St
Ste 220
Castle Rock, CO 80104
Phone (303) 688-5025

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924

13492 Bass Pro Dr
Ste 100
Colorado Springs, CO 80921

2620 Tenderfoot Hill St
Ste 110
Colorado Springs, CO 80906

6215 Corporate Dr
Ste 101
Colorado Springs, CO 80919

5700 N Elizabeth St
Pueblo, CO 81008
Phone (719) 543-1111

5700 N Elizabeth St
Ste 160
Pueblo, CO 81008

41 State Highway 67
Unit B
Woodland Park, CO 80863

Interoperability endpoints

  • Direct secure messaging: james.banich@direct.vanguardmed.nextgenshare.com

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1801087044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Tenderfoot Hill St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809068356",
            "country_code": "US",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 N Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082166",
            "country_code": "US",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANICH",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "DR0059047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com",
            "affiliation": "N",
            "address_1": "9348 Grand Cordera Pkwy Ste 160",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809247023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.