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JONATHAN JOSEPH BANIBENSU
NPI 1194975805
Internal Medicine in New Haven, CT

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
1450 CHAPEL ST, NEW HAVEN, CT 06511(203) 789-3000 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Joseph Banibensu NPPES

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

JONATHAN JOSEPH BANIBENSU (NPI 1194975805) is an individual internal medicine provider in New Haven, Connecticut, licensed in Delaware (0010890) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1194975805
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN JOSEPH BANIBENSU
Location Address1450 CHAPEL STNew Haven, CT 06511-4405
Mailing Address90a Howe StNew Haven, CT 06511-4607 · (120) 382-4807
Phone(203) 789-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 30, 2008
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1194975805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · 0010890
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.
1450 CHAPEL ST, New Haven, CT 06511
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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

Jonathan Joseph Banibensu 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 ID2062687544
PECOS Enrollment IDI20140617000091
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 5

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.

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.
471 services201 patients
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.
254 services143 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.
147 services142 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.
83 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.02
Improvement Activities40
Cost52.25

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers30 claims30 services$17.13 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers39 claims39 services$89.43 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.

ARTHUR H KNOWLTON MD
Radiology (Therapeutic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3131
CAROLA MARTE MD
Internal Medicine
1450 CHAPEL ST, HAELEN CENTER
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4135
CHARLES WILLIAM JONES JR. PHARMD, BCPS
Pharmacist (Pharmacotherapy)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-6267
ANDREA LOWE PAC
Physician Assistant
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3464
KATHERINE ADAMS
Speech-Language Pathologist
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (475) 246-6982
J E FREDRIK ZETTERBERG MD
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3124
SARAH ROSE ROCKS PA
Physician Assistant (Medical)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 680-6185
DR. JULIE ROTHSTEIN ROSENBAUM MD
Internal Medicine
1450 CHAPEL ST, ADULT PRIMARY CARE CENTER
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4044

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 Jonathan Banibensu's NPI number?

The NPI number for Jonathan Banibensu is 1194975805. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Jonathan Banibensu located?

Jonathan Banibensu practices at 1450 Chapel St, New Haven, CT 06511. The listed phone number is (203) 789-3000.

What is Jonathan Banibensu's specialty?

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

Is Jonathan Banibensu enrolled in Medicare?

Yes. Jonathan Banibensu 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.

When was this NPI record last updated?

The NPPES record for Jonathan Banibensu was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.