Active NPI
James C Banich, MD
- Plastic Surgery Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- DR0059047
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- 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 100
- Quality
- 86.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.25
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 295 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanguard Medical Specialists LLC | Dermatology | Current | Accepting new patients |
| Vanguard Medical Specialists LLC | Dermatology | Current | Accepting new patients |
| Vanguard Medical Specialists, LLC | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Colorado Springs, CO
- NPI 1518105253
-
- Dermatology Physician
- Colorado Springs, CO
- NPI 1588284103
-
- Dermatology Physician
- Hugo, CO
- NPI 1821890351
-
- Dermatology Physician
- Colorado Springs, CO
- NPI 1477326163
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.