Individual provider Active NPI

Daryl Banta, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1932299450
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88722 Issued in CA
Practice address
10 Congress St Ste 155
Pasadena, CA 91105-3045
Phone
(626) 486-0181
Fax
(626) 486-0189
NPI assigned
Oct 13, 2006
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88722 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A88722 CA
Pulmonary Disease Physician 207RP1001X A88722 CA

Addresses

Primary practice location

10 Congress St Ste 155
Pasadena, CA 91105-3045

Mailing address

39 Congress St
Second Floor
Pasadena, CA 91105-3024
Phone (626) 486-0181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091014000774 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0042356453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
New York Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huntington Pulmonary Medical GroupGroup PAC ID 5294017646, 8 clinicians

Practice addresses (Care Compare)

10 Congress St
Suite 155
Pasadena, CA 91105-3045
Phone (626) 486-0181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88722CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Pulmonary Medical Group Critical Care Medicine CurrentSince Jan 1, 2017 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

10 Congress St
Ste 155
Pasadena, CA 91105
Phone (626) 486-0181

39 Congress St
Ste 201
Pasadena, CA 91105
Phone (626) 486-0181

800 Fairmount Ave
Ste 220
Pasadena, CA 91105
Phone (323) 221-3270

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: daryl.banta@hpmg.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDABD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1932299450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST",
            "address_2": "SECOND FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053024",
            "telephone_number": "626-486-0181",
            "fax_number": "866-765-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 155",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053045",
            "telephone_number": "626-486-0181",
            "fax_number": "626-486-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANTA",
        "first_name": "DARYL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88722",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A88722",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A88722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.