Active NPI
Ali Banki, D.O., P.C.
- Dermatology Physician
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 048744
- Legal business name
- ALI BANKI, D.O., P.C.
- Practice address
- 15 Concord St
Glastonbury, CT 06033-2135 - Phone
- (860) 659-2779
- Fax
- (860) 633-9315
- NPI assigned
- Feb 1, 2011
- Last updated
- Feb 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ali Banki, D.O.
- Title
- Owner/President
- Phone
- (860) 659-2779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 048744 | CT | Primary |
Addresses
Primary practice location
15 Concord St
Glastonbury, CT 06033-2135
Mailing address
15 Concord St
Glastonbury, CT 06033-2135
Phone (860) 659-2779
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P4181742 | Other | CT | OXFORD |
| 6426153 | Other | CT | AETNA |
| 048744 | Other | CT | CONNECTICARE, INC. |
| 040048744CT01 | Other | CT | ANTHEM BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1484 Highland Ave
Cheshire, CT 06410
1484 Highland Ave
Ste 8
Cheshire, CT 06410
2928 Main St
Ste 200
Glastonbury, CT 06033
Phone (860) 430-2344
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Glastonbury, CT
- NPI 1912218918
-
- Physician Assistant
- Avon, CT
- NPI 1023650520
-
- Physician Assistant
- Glastonbury, CT
- NPI 1780266593
-
- Dermatology Physician
- Glastonbury, CT
- NPI 1629008131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296518400000",
"number": "1811293350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CONCORD ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332135",
"telephone_number": "860-659-2779",
"fax_number": "860-633-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CONCORD ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332135",
"telephone_number": "860-659-2779",
"fax_number": "860-633-9315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALI BANKI, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A",
"authorized_official_last_name": "BANKI",
"authorized_official_first_name": "ALI",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "860-659-2779",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CT",
"license": "048744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P4181742",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "6426153",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE, INC.",
"identifier": "048744",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS/BLUE SHIELD",
"identifier": "040048744CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.