Active NPI
Monico Peter Banez, MD
- Hospitalist Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 27436
- Practice address
- 620 Skyline Dr
Jackson, TN 38301-3923 - Phone
- (731) 660-8759
- NPI assigned
- Mar 2, 2006
- Last updated
- Aug 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 27436 | MS | Primary |
| Internal Medicine Physician | 207R00000X | 35303 | TN |
Addresses
Primary practice location
620 Skyline Dr
Jackson, TN 38301-3923
Mailing address
1804 Highway 45 Byp
Suite 604
Jackson, TN 38305-4436
Phone (731) 660-8759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, ME, TX, MS, WV, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100
57 Water St
Blue Hill, ME 04614-5231
Phone (207) 374-3400
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-4923
742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27436 | MS | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Maine Medical Services LLC | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| University Health System Inc | Current | Accepting new patients | |
| North Mississippi Medical Center, Inc | Current | Accepting new patients | |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Maine LLC | Hospitalist | Current | Accepting new patients |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group, West Virginia, PLLC | Current | Accepting new patients | |
| West Tennessee Healthcare Hospitalists Inc | Hospitalist | Current | Accepting new patients |
| University Health System, Inc | Internal Medicine | Current | Accepting new patients |
| Executive Outcomes PC | Internal Medicine | Current | Accepting new patients |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Jackson Madison County General Hospital | Past | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients | |
| Eastern Maine Healthcare Systems Inland Hospital | Past | Accepting new patients |
Locations (25 of 27)
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
620 Skyline Dr
Jackson, TN 38301
Phone (731) 425-5000
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081
7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
Organizations & group practices 20
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.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1821352808
-
- Hospitalist Physician
- Jackson, TN
- NPI 1720635188
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
-
- Hospitalist Physician
- Ellsworth, ME
- NPI 1538638432
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Internal Medicine, TN
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
-
dba Cool Springs Internal Medicine and Pediatrics
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
dba UT Internal Medicine Pellissippi
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- General Practice Physician
- Beckley, WV
- NPI 1669708442
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Memorial Hospital - Carroll County
- General Acute Care Hospital
- Huntingdon, TN
- NPI 1710941356
-
dba Cumberland Medical Center
- General Acute Care Hospital
- Crossville, TN
- NPI 1871596403
-
dba Dyersburg Employee Pharmacy
- Community/Retail Pharmacy
- Dyersburg, TN
- NPI 1043282338
Hospital
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- Long Term Care Hospital
- Jackson, TN
- NPI 1053023713
Long-term care hospital
-
dba Northern Light Maine Coast Hospital
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1962479451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 HIGHWAY 45 BYP",
"address_2": "SUITE 604",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054436",
"telephone_number": "731-660-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 SKYLINE DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013923",
"telephone_number": "731-660-8759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANEZ",
"first_name": "MONICO",
"middle_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MS",
"license": "27436",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "35303",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.