RAMKAJI BANIYA M.D.
NPI 1174906374
Internal Medicine in Baton Rouge, LA

Active since July 07, 2015PECOS EnrolledAccepts Medicare Assignment
7777 HENNESSY BLVD STE 701, BATON ROUGE, LA 70808(225) 765-5864(225) 765-2013 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2023, Jan 7, 2021, Sep 13, 2018 (3 updates tracked since 2018).

About Ramkaji Baniya M.d. NPPES

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

RAMKAJI BANIYA M.D. (NPI 1174906374) is an individual internal medicine provider in Baton Rouge, Louisiana, licensed in Delaware (C1-0026008) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174906374
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAMKAJI BANIYACredential: M.D.
Location Address7777 HENNESSY BLVD STE 701Baton Rouge, LA 70808-4370
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 526-0269 · Fax (225) 765-9196
Fax(225) 765-2013
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 7, 2015
Last NPPES UpdateMay 8, 20233 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
NPI 1174906374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in DE · C1-0026008 Licensed in LA · 310564
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.

Also ListedHospitalistTaxonomy 208M00000X · License C1-0026008 (DE)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301107726 (MI)
7777 HENNESSY BLVD STE 701, Baton Rouge, LA 70808

Secondary Practice Locations 2

Location 11 Hurley PlzFlint, MI 48503-5902 · Phone (810) 262-9000
Location 24755 Ogletown Stanton Rd Ste 5A43Newark, DE 19718-4370 · Phone (302) 623-0188 · Fax (302) 733-5640

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

Ramkaji Baniya 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 ID6901195627
PECOS Enrollment IDI20230508001560, I20230525001816
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
465 services233 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
246 services155 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
151 services149 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
64 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$14.19 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$7.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Hospitalist
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Family Medicine
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Internal Medicine (Critical Care Medicine)
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Internal Medicine (Pulmonary Disease)
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Nurse Practitioner
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174906374, enumerated as an "individual" on July 07, 2015.

The provider is located at 7777 HENNESSY BLVD STE 701 BATON ROUGE, LA 70808 and the phone number is (225) 765-5864.

Internal Medicine with taxonomy code 207R00000X.