Individual provider Active NPI

Monico Peter Banez, MD

  • Hospitalist Physician
  • Jackson, TN
National Provider Identifier
1962479451
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
27436 Issued in MS
Practice address
620 Skyline Dr
Jackson, TN 38301-3923
Phone
(731) 660-8759
NPI assigned
Mar 2, 2006
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20091211000468 TN Practitioner - Internal Medicine 6406996008 Reassigns benefits to 7 organizations
I20191120000479 ME Practitioner - Internal Medicine 6406996008 Reassigns benefits to 2 organizations
I20201012000600 TX Practitioner - Internal Medicine 6406996008 Reassigns benefits to 1 organization
I20220829000628 MS Practitioner - Hospitalist 6406996008 Reassigns benefits to 1 organization
I20250131002376 WV Practitioner - Internal Medicine 6406996008 Reassigns benefits to 1 organization
I20260414002131 IA Practitioner - Internal MedicinePractitioner - Hospitalist 6406996008 Reassigns benefits to 1 organization

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
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians
Hospital Medicine Services of Maine LLCGroup PAC ID 1759621469, 34 clinicians
West Tennessee Healthcare Hospitalists IncGroup PAC ID 1951735521, 98 clinicians
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

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

LicenseStateTypeSpecialty
27436MSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc Internal Medicine CurrentSince Jan 3, 2023 Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince Sep 18, 2019 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
University Health System Inc CurrentSince Nov 1, 2015 Accepting new patients
North Mississippi Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Hospital Medicine Services of Maine LLC Hospitalist CurrentSince Sep 18, 2019 Accepting new patients
Summit Medical Group, PLLC CurrentSince Dec 27, 2017 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Dec 27, 2017 Accepting new patients
Apogee Medical Group, West Virginia, PLLC CurrentSince Dec 6, 2024 Accepting new patients
West Tennessee Healthcare Hospitalists Inc Hospitalist CurrentSince Sep 25, 2019 Accepting new patients
University Health System, Inc Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Executive Outcomes PC Internal Medicine CurrentSince Oct 27, 2012 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Aug 1, 2022 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.

View all 20

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.