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DR. SAHIL SAGAR BANKA M.D.
NPI 1053432872
Internal Medicine - Interventional Cardiology in Philadelphia, PA

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
216 N BROAD ST, 2ND FLOOR, FEINSTEIN BUILDING, PHILADELPHIA, PA 19102(215) 762-3333(215) 762-2312 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sahil Sagar Banka M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAHIL SAGAR BANKA M.D. (NPI 1053432872) is an individual interventional cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD436937) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Howard University College Of Medicine (2003).

NPPES Registry Identity

NPI1053432872
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. SAHIL SAGAR BANKACredential: M.D.
Location Address216 N BROAD ST, 2ND FLOOR, FEINSTEIN BUILDINGPhiladelphia, PA 19102-1121
Mailing Address216 N Broad St, 2nd Floor, Feinstein BuildingPhiladelphia, PA 19102-1121 · (215) 762-3333 · Fax (215) 762-2312
Phone(215) 762-3333
Fax(215) 762-2312
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2003
Enumeration DateApril 2, 2007
Last NPPES UpdateNovember 5, 2014
✔ NPI 1053432872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in PA · MD436937
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2006025386 (MO)
216 N BROAD ST, Philadelphia, PA 19102
Open in Google Maps ↗

Other Identifiers 2

Other002625738PA · Highmark B/s
Medicaid102605020PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sahil Sagar Banka M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719151950
PECOS Enrollment IDI20111128000072
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
74 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services56 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
61 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
28 services27 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
12%161 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
33%115 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
4%327 patients1/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
8%38 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
89%110 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
58%915 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
79%112 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
10%210 patients1/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%262 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
19%210 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%485 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
15%371 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
5%438 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 56% · 411 patients
Patients tobacco: 54% · 409 patients
71%66 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
76%262 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%262 patients1/55-star benchmark: 89%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
93%324 patients5/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 210 patients
0%210 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%262 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. LISSA BETH LEVIN MIZRAHI M.D.
Internal Medicine (Nephrology)
216 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2688
MRS. KYMBERLEE A MONTGOMERY CRNP
Nurse Practitioner
216 N BROAD ST, 4TH FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3600
GARY S XIAO MD
Surgery
216 N BROAD ST, 5TH FL
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3900
GREGORY MALAT
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
216 N BROAD ST, MS 417 5TH FLOOR FEINSTEIN BLDG
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3823
OWEN C MONTGOMERY MD
Obstetrics & Gynecology
216 N BROAD ST, 4TH FLOOR FEINSTEIN
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3600
DREXEL UNIVERSITY
Radiology (Radiation Oncology)
216 N BROAD ST, 1ST FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-8409
BURCKHARDT RINGE MD
Transplant Surgery
216 N BROAD ST, 5TH FL
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3900
KAREN M BERKOWITZ MD
Obstetrics & Gynecology (Reproductive Endocrinology)
216 N BROAD ST, 4TH FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3600

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 Sahil Banka's NPI number?

The NPI number for Sahil Banka is 1053432872. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Sahil Banka located?

Sahil Banka practices at 216 N Broad St 2nd Floor, Feinstein Building, Philadelphia, PA 19102. The listed phone number is (215) 762-3333.

What is Sahil Banka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sahil Banka enrolled in Medicare?

Yes. Sahil Banka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sahil Banka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sahil Banka 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.

Is Sahil Banka affiliated with any hospitals?

According to CMS data, Sahil Banka is affiliated with Albert Einstein Medical Center, Thomas Jefferson University Hospital and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Sahil Banka was last updated on November 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.