Active NPI
Ugoala C Banks, MD
- Cardiovascular Disease Physician
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 127443
- Practice address
- 464 Attleboro CT
Mason, OH 45040-2213 - Phone
- (513) 505-6309
- Fax
- (513) 486-1868
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| 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
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810006842 | Medicaid | WV | |
| 001908161 | Other | WA | WV BLUE CROSS PIN # |
| 520795508 | Other | WV | TAX ID |
| P00345268 | Other | RAILROAD MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151109002153 | OH | Practitioner - Internal Medicine | 8426055526 | Reassigns benefits to 3 organizations |
| I20220310001513 | MI | Practitioner - Internal Medicine | 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 PLLC
Practice addresses (Care Compare)
5999 Bender Rd
Cincinnati, OH 45233-1601
Phone (513) 922-1440
Hospital & facility affiliations
- Heartland Hospice
- Cherish Hospice LLC
- Hospice of Cincinnati, Inc
- Vitas Healthcare Corporation of Ohio
- Queen City Hospice
- Gateway Springs Health Campus
- Troy Rehabilitation and Healthcare Center
- Hawthorn Glen Nursing Center
- Norwood Towers Post-Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18121 | MD | MD | Dentist |
| 127443 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Current | Accepting new patients | |
| Theoria Medical | Cardiovascular Disease | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Home Health MDS | Current | Accepting new patients | |
| House MDS PLC | Current | Accepting new patients | |
| Beckley Pain Clinic | Past | Accepting new patients | |
| Hawthorn Glen SNF Opco LLC | Past | Accepting new patients | |
| Norwood Towers Healthcare, LLC | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Past | Accepting new patients | |
| Troy Rehabilitation and Healthcare Center 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
1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518
11941 Belsay Rd
Grand Blanc, MI 48439
Phone (810) 694-1970
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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Troy Rehabilitation and Healthcare Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 1, 2023 Jul 1, 2023 |
| Delhi Post Acute | Skilled nursing facility | Contracted Managing Employee | Mar 1, 2023 |
| Norwood Towers Post Acute | 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.
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1952957409
Contracted Managing Employee
-
- Skilled Nursing Facility
- Norwood, OH
- NPI 1063068518
Contracted Managing Employee
-
- Skilled Nursing Facility
- Troy, OH
- NPI 1558834028
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
OH
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
OH
-
- Geriatric Medicine (Internal Medicine) Physician
- Mason, OH
- NPI 1780343889
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1952957409
-
- Skilled Nursing Facility
- Middletown, OH
- NPI 1548016637
-
- Skilled Nursing Facility
- Norwood, OH
- NPI 1063068518
-
- Skilled Nursing Facility
- Hamilton, OH
- NPI 1972106201
-
- Skilled Nursing Facility
- Troy, OH
- NPI 1558834028
-
- Family Medicine Physician
- Beckley, WV
- NPI 1477510162
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1598740011
Hospice
-
- Community Based Hospice Care Agency
- Kettering, OH
- NPI 1659070175
Hospice
-
- Skilled Nursing Facility
- Troy, OH
- NPI 1558834028
Nursing home
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1568505105
Hospice
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810006842",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BLUE CROSS PIN #",
"identifier": "001908161",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "520795508",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00345268",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.