Individual provider Active NPI

Abel Banko, PA-C

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1831916873
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
166 Defense Hwy Ste 300
Annapolis, MD 21401-8926
Phone
(443) 241-9028
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

166 Defense Hwy Ste 300
Annapolis, MD 21401-8926

Mailing address

166 Defense Hwy Ste 300
Annapolis, MD 21401-8926
Phone (443) 241-9028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250627002282 MD Practitioner - Physician Assistant 5294248852 Reassigns benefits to 1 organization
I20250627002483 DC Practitioner - Physician Assistant 5294248852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Maryland School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
All Star Pain Management and Regenerative Medicine, LLCGroup PAC ID 9133400260, 6 clinicians

Practice addresses (Care Compare)

166 Defense Hwy
Suite 300
Annapolis, MD 21401-8926
Phone (443) 808-1808

4201 Northview Dr
Suite 502
Bowie, MD 20716-2673
Phone (443) 808-1808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Pain Management and Regenerative Medicine, LLC PastSince Oct 6, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abel.banko@2963.securemail.prognocis.com

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1831916873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018926",
            "telephone_number": "443-241-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018926",
            "telephone_number": "443-241-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKO",
        "first_name": "ABEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.