Individual provider Active NPI

Dorothy H Banish, M.D.

  • Cardiovascular Disease Physician
  • Covington, LA
National Provider Identifier
1821079773
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
015918 Issued in LA
Practice address
67250 Industry LN
Suite B
Covington, LA 70433-8716
Phone
(985) 893-4711
Fax
(985) 893-9094
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 015918 LA Primary

Addresses

Primary practice location

67250 Industry LN
Suite B
Covington, LA 70433-8716

Mailing address

PO Box 8865
Mandeville, LA 70470-8865
Phone (985) 893-4711

Other identifiers 1

IdentifierTypeStateIssuer
1349071MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20041006000962 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Ophthalmology 3072572957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15918LAMDPharmacist
015918LAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Cardiovascular Associates LLC Cardiovascular Disease Past Accepting new patients
Tchefuncte Cardiovascular Associates PastSince Oct 4, 2010 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1821079773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8865",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704708865",
            "telephone_number": "985-893-4711",
            "fax_number": "985-893-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67250 INDUSTRY LN",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338716",
            "telephone_number": "985-893-4711",
            "fax_number": "985-893-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANISH",
        "first_name": "DOROTHY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "015918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1349071",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.