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LESAN BANKO, M.D. INC.
NPI 1093044794
Internal Medicine - Cardiovascular Disease in Victorville, CA

Active since December 09, 2009
12984 HESPERIA RD STE 100, VICTORVILLE, CA 92395(760) 843-7675(760) 843-7649 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Oct 19, 2017 (2 updates tracked since 2017).

About Lesan Banko, M.d. Inc. NPPES

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

LESAN BANKO, M.D. INC. (NPI 1093044794) is a healthcare organization registered as a cardiovascular disease in Victorville, California and active in the NPI registry since December 2009. The organization maintains a secondary practice location in Victorville and lists Lesanemarie T Banko, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093044794
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLESAN BANKO, M.D. INC.
Location Address12984 HESPERIA RD STE 100Victorville, CA 92395-5819
Mailing Address12984 Hesperia Rd Ste 100Victorville, CA 92395-5819 · (760) 843-7675 · Fax (760) 843-7649
Phone(760) 843-7675
Fax(760) 843-7649
Organization SubpartNo
Authorized OfficialLesanemarie T BankoCeo · (760) 843-7675
Enumeration DateDecember 9, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1093044794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A104321
Definition
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.
12984 HESPERIA RD STE 100, Victorville, CA 92395
Open in Google Maps ↗

Secondary Practice Location 1

Location 113010 Hesperia Rd Ste 500Victorville, CA 92395-8315 · Phone (760) 843-7675 · Fax (760) 843-7649

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lesan Banko, M.d. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20100427000268Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lesan Banko, M.D. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Lesanemariam Banko, M.D.
Internal Medicine
NPI 1861648560
12984 HESPERIA RD STE 100
Victorville, CA 92395
(760) 843-7675
✔ PECOS✔ Accepts MedicareSame address

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

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 Lesan Banko, M.D. Inc.'s NPI number?

The NPI number for Lesan Banko, M.D. Inc. is 1093044794. It was assigned to this organization in the NPPES registry on December 9, 2009.

Where is Lesan Banko, M.D. Inc. located?

Lesan Banko, M.D. Inc. is located at 12984 Hesperia Rd Ste 100, Victorville, CA 92395. The listed phone number is (760) 843-7675.

What is Lesan Banko, M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Lesan Banko, M.D. Inc. enrolled in Medicare?

Yes. Lesan Banko, M.D. Inc. is registered in the Medicare PECOS enrollment system.

When is Lesan Banko, M.D. Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lesan Banko, M.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lesan Banko, M.D. Inc.. 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.

When was this NPI record last updated?

The NPPES record for Lesan Banko, M.D. Inc. was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.