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BANU MEDICAL PRACTICE PA
NPI 1063155570
Internal Medicine in Plantation, FL

Active since April 14, 2022CLIA 10D2266354 · Waiver
2 S UNIVERSITY DR STE 330, PLANTATION, FL 33324(954) 205-6071(954) 820-9652 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Banu Medical Practice Pa NPPES

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

BANU MEDICAL PRACTICE PA (NPI 1063155570) is a healthcare organization registered as an internal medicine in Plantation, Florida and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Fulvia Banu, Owner, as its authorized official.

NPPES Registry Identity

NPI1063155570
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBANU MEDICAL PRACTICE PA
Location Address2 S UNIVERSITY DR STE 330Plantation, FL 33324-3307
Mailing Address2 S University Dr Ste 330Plantation, FL 33324-3307 · (954) 205-6071 · Fax (954) 820-9652
Phone(954) 205-6071
Fax(954) 820-9652
Organization SubpartNo
Authorized OfficialFulvia BanuOwner · (954) 205-6071
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
✔ NPI 1063155570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2 S UNIVERSITY DR STE 330, Plantation, FL 33324
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banu Medical Practice Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Banu Medical Practice PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fulvia Banu, M.D.
Internal Medicine
NPI 1073908752
2 S UNIVERSITY DR STE 330
Plantation, FL 33324
(954) 820-9443
✔ PECOS✔ Accepts Medicare6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2266354

Banu Medical Practice PA · Plantation, FL
Active · expires Aug 8, 2028
CLIA Number10D2266354
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2026
Certificate Expiration DateAugust 8, 2028
Laboratory DirectorFulvia C. Banu
Laboratory Phone(954) 820-9443
Laboratory LocationBanu Medical Practice PA2 S University Drive, Ste 330, Plantation, FL 33324
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Banu Medical Practice PA's NPI number?

The NPI number for Banu Medical Practice PA is 1063155570. It was assigned to this organization in the NPPES registry on April 14, 2022.

Where is Banu Medical Practice PA located?

Banu Medical Practice PA is located at 2 S University Dr Ste 330, Plantation, FL 33324. The listed phone number is (954) 205-6071.

What is Banu Medical Practice PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Banu Medical Practice PA enrolled in Medicare?

Yes. Banu Medical Practice PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banu Medical Practice PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Banu Medical Practice PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banu Medical Practice PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2266354) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banu Medical Practice PA was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.