MOUSTAFA BANNA MD NPI 1003009861

Internal Medicine (Cardiovascular Disease) in Glendale, AZ

NPI 1003009861 Individual Male Years of Experience 17 Internal Medicine Cardiovascular Disease PECOS Enrolled Accepts Medicare Approved Payment

About MOUSTAFA BANNA

Moustafa Banna is an internal medicine provider established in Glendale, Arizona and his medical specialization is internal medicine (cardiovascular disease) with more than 17 years of experience. He graduated from University Of Cincinnati College Of Medicine in 2005. The NPI number of Moustafa Banna is 1003009861 and was assigned on August 2007. The practitioner's primary taxonomy code is 207RC0000X with license number 45263 (AZ). The provider is registered as an individual and his NPI record was last updated 6 years ago.

An internist like Moustafa Banna Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Moustafa Banna is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Moustafa Banna is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Banner Thunderbird Medical Center, Abrazo West Campus and Banner Estrella Medical Center.

NPI

1003009861

Provider Name MOUSTAFA BANNA MD
Provider Location Address5859 W. TALAVI BLVD SUITE 100 GLENDALE, AZ 85306
Provider Mailing Address5859 W. TALAVI BLVD SUITE 100 GLENDALE, AZ 85306
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-23-2007
Last Update Date11-16-2015


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.45263
License StateAZ
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

MOUSTAFA BANNA MD
5859 W. TALAVI BLVD
SUITE 100
GLENDALE, AZ
ZIP 85306
Phone: (602) 298-7777
Fax: (623) 930-6060

Get Directions


Mailing Address

MOUSTAFA BANNA MD
5859 W. TALAVI BLVD
SUITE 100
GLENDALE, AZ
ZIP 85306
Phone: (602) 298-7777
Fax: (623) 930-6060



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1658525894
PECOS Enrollment IDI20130215000495
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 94Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 69Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 46Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • 44Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • 12Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Moustafa Banna is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BANNER THUNDERBIRD MEDICAL CENTER5555 WEST THUNDERBIRD ROAD
GLENDALE, AZ 85306
(602) 865-4470Acute Care Hospitals30089
ABRAZO WEST CAMPUS13677 WEST MCDOWELL ROAD
GOODYEAR, AZ 85395
(623) 882-1970Acute Care Hospitals30110
BANNER ESTRELLA MEDICAL CENTER9201 WEST THOMAS ROAD
PHOENIX, AZ 85037
(623) 327-4000Acute Care Hospitals30115

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseP6136TXNo

Taxonomy Description: an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramMT186538PANo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
324413901MEDICAID (05)TX
306459YKP5MEDICARE PIN (08)TX
324413902MEDICAID (05)TX
306459YKPWMEDICARE PIN (08)TX

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.