PREMILLA BANWAIT OD
NPI 1043535008
Optometrist - Pediatrics in Aurora, CO
About Premilla Banwait Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMILLA BANWAIT OD (NPI 1043535008) is an individual pediatrics provider in Aurora, Colorado, licensed in Colorado (2805) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premilla Banwait Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Premilla Banwait reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley, CA 94720
- Reassigned Medicare billing, California enrollment
- 96 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Premilla Banwait's NPI number?
The NPI number for Premilla Banwait is 1043535008. It was assigned to this individual provider in the NPPES registry on April 2, 2010.
Where is Premilla Banwait located?
Premilla Banwait practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.
What is Premilla Banwait's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.
Is Premilla Banwait enrolled in Medicare?
Yes. Premilla Banwait is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Premilla Banwait's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Premilla Banwait reassigns Medicare benefits to Regents Of The University Of California At Berkeley (Berkeley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Premilla Banwait's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Premilla Banwait accept?
Health plans from Providence Health Plan list Premilla Banwait as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Premilla Banwait was last updated on August 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Premilla Banwait, OD · NPI 1043535008
Pediatrics provider in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since April 2, 2010.
## Identity
- **NPI:** 1043535008 (Entity type: Individual)
- **Enumerated:** April 2, 2010
- **Primary specialty:** Optometrist - Pediatrics · taxonomy 152WP0200X
- **State license:** 2805 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 13123 E 16TH AVE, Aurora, CO 80045-7106
- **Phone:** (720) 777-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Regents Of The University Of California At Berkeley (NPI 1306908058, Berkeley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2012
- **Other identifiers:** Medicaid 61458261 (CO); Medicare PIN COA102758 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1043535008) · Data from the CMS NPPES public registry.