NPIMap

Individual provider Active NPI

Ugoala C Banks, MD

  • Cardiovascular Disease Physician
  • Mason, OH
National Provider Identifier
1962596700
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
127443 Issued in OH
Practice address
464 Attleboro CT
Mason, OH 45040-2213
Phone
(513) 505-6309
Fax
(513) 486-1868
NPI assigned
Oct 3, 2006
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22449 WV
Cardiovascular Disease Physician 207RC0000X 127443 OH Primary

Addresses

Primary practice location

464 Attleboro CT
Mason, OH 45040-2213

Mailing address

PO Box 316
Kings Mills, OH 45034-0316
Phone (513) 505-6309

Other practice location 1

20 Hospital Drive
Logan, WV 25601
Phone (304) 831-1602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151109002153 OH Practitioner - Internal Medicine 8426055526 Reassigns benefits to 3 organizations
I20220310001513 MI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 8426055526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

5999 Bender Rd
Cincinnati, OH 45233-1601
Phone (513) 922-1440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18121MDMDDentist
22449WVMDSpecialist
127443OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince Nov 1, 2015 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince May 4, 2025 Accepting new patients
Theoria Medical Cardiovascular Disease CurrentSince Dec 31, 2022 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD CurrentSince Feb 10, 2020 Accepting new patients
Home Health MDS CurrentSince Jul 16, 2023 Accepting new patients
House MDS PLC CurrentSince Jul 18, 2022 Accepting new patients
Beckley Pain Clinic Past Accepting new patients
Norwood Towers Healthcare, LLC PastSince Feb 9, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients
Hawthorn Glen SNF Opco LLC Past Accepting new patients
Troy Rehabilitation and Healthcare Center LLC Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients
Cincinnati Riverview Healthcare, LLC Past Accepting new patients
Trilogy Healthcare of Butler, LLC Past Accepting new patients

Locations (25 of 39)

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

1167 E Hopson St
Bad Axe, MI 48413
Phone (989) 269-9983

4782 Hospital Dr
Cass City, MI 48726
Phone (989) 872-2174

47901 Sugarbush Rd
Chesterfield, MI 48047
Phone (586) 210-7101

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

10735 Bogie Lake Rd
Commerce Twp, MI 48382
Phone (248) 354-3222

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

34225 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 477-7373

512 Beach St
Fenton, MI 48430
Phone (810) 629-4117

4436 Beecher Rd
Flint, MI 48532
Phone (810) 223-9324

G1069 N Ballenger Hwy
Flint, MI 48504
Phone (810) 235-2006

11941 Belsay Rd
Grand Blanc, MI 48439
Phone (810) 694-1970

1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

3003 W Grand River Ave
Howell, MI 48843
Phone (517) 323-9133

14900 Middlebelt Rd
Livonia, MI 48154
Phone (734) 425-4200

610 W Elm Ave
Monroe, MI 48162
Phone (734) 240-9670

24500 Meadowbrook Rd
Novi, MI 48375
Phone (248) 477-2000

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

4046 Hess Ave
Saginaw, MI 48601
Phone (989) 372-1900

27177 Lahser Rd
Ste 203
Southfield, MI 48034
Phone (248) 357-4151

22700 Greater Mack Ave
St Clair Shrs, MI 48080
Phone (586) 443-4910

951 Hickory Creek Dr
Temperance, MI 48182
Phone (734) 206-8200

2685 W Maple Rd
Troy, MI 48084
Phone (248) 262-2357

29800 Hoover Rd
Warren, MI 48093
Phone (586) 574-3444

Interoperability endpoints

  • Direct secure messaging: ugoala.banks.1@22421.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Troy Rehabilitation and Healthcare CenterTroy, OH, CCN 365278 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2023
Jul 1, 2023
Delhi Post AcuteCincinnati, OH, CCN 365530 Skilled nursing facility Contracted Managing Employee Mar 1, 2023
Norwood Towers Post AcuteNorwood, OH, CCN 366238 Skilled nursing facility Contracted Managing Employee Feb 9, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

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 14

Hospital & facility affiliations 9

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1962596700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "KINGS MILLS",
            "state": "OH",
            "postal_code": "450340316",
            "telephone_number": "513-505-6309",
            "fax_number": "513-486-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 ATTLEBORO CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402213",
            "telephone_number": "513-505-6309",
            "fax_number": "513-486-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "25601",
            "country_code": "US",
            "telephone_number": "304-831-1602",
            "fax_number": "304-831-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "UGOALA",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "22449",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "127443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.