DR. JOSEPH C. BANIS JR. MD
NPI 1093717274
Surgery - Plastic and Reconstructive Surgery in Louisville, KY

NPI Status: Active since June 01, 2005

Contact Information

2507 BUSH RIDGE DR STE B
LOUISVILLE, KY
ZIP 40245
Phone: (502) 589-8000
Fax: (502) 589-8001

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  • Individual
  • Male
  • Surgery
  • Plastic and Reconstructive Surgery
  • PECOS Enrolled

About JOSEPH BANIS

This page provides the complete NPI Profile along with additional information for Joseph Banis, a provider established in Louisville, Kentucky with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1093717274 assigned on June 2005. The practitioner's primary taxonomy code is 2086S0122X with license number 21531 (KY). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1093717274
Provider Name
DR. JOSEPH C. BANIS JR. MD
Gender
Male
Entity Type
Individual
Location Address
2507 BUSH RIDGE DR STE B LOUISVILLE, KY 40245
Location Phone
(502) 589-8000
Location Fax
(502) 589-8001
Mailing Address
2507 BUSH RIDGE DR STE B LOUISVILLE, KY 40245
Mailing Phone
(502) 589-8000
Mailing Fax
(502) 589-8001
Is Sole Proprietor?
No
Enumeration Date
06-01-2005
Last Update Date
05-07-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
21531
License State
KY
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Medicare Participation & PECOS Enrollment Status

Joseph Banis is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA023N)

    Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing (HCPCS:A6402)

    2 DME suppliers used 13 Medicare Claims 700 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 95 times for 27 patients

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 1-10 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093717274, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 4 + 1 + 1 + 4 + 2 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1093717274.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Surgery (Plastic and Reconstructive Surgery)
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY 40245
Surgery (Plastic and Reconstructive Surgery)
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY 40245
Surgery (Plastic and Reconstructive Surgery)
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY 40245

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093717274, enumerated as an "individual" on June 01, 2005.

The provider is located at 2507 BUSH RIDGE DR STE B LOUISVILLE, KY 40245 and the phone number is (502) 589-8000.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.