KENNETH J BANASIAK MD
NPI 1205818929
Pediatrics - Pediatric Critical Care Medicine in Hartford, CT

Q: What is Kenneth Banasiak's NPI number?

The NPI number for Kenneth Banasiak is 1205818929. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Q: What is Kenneth Banasiak's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Banasiak was last updated on September 9, 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.

Active since November 17, 2005PECOS Enrolled

282 WASHINGTON ST, HARTFORD, CT 06106(860) 545-9850(860) 545-8812 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Kenneth J Banasiak Md NPPES

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

KENNETH J BANASIAK MD (NPI 1205818929) is an individual pediatric critical care medicine provider in Hartford, Connecticut, licensed in Maine (017898) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1205818929

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameKENNETH J BANASIAKCredential: MD

Location Address282 WASHINGTON STHartford, CT 06106-3322

Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632

Phone(860) 545-9850

Fax(860) 545-8812

Sole ProprietorNo

Enumeration DateNovember 17, 2005

Last NPPES UpdateSeptember 9, 2022

NPPES CertifiedSeptember 9, 2022

✔ NPI 1205818929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in ME · 017898✔ Licensed in CT · 035451

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

282 WASHINGTON ST, Hartford, CT 06106

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Secondary Practice Location 1

Location 122 Bramhall St, Pediatric Intensive CarePortland, ME 04102 · Phone (207) 662-2179 · Fax (207) 662-6326

Other Identifiers 3

Medicaid30208101NH

Medicaid001354513CT

Medicaid433063199ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth J Banasiak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Banasiak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connecticut Children's Specialty Group, Inc.

Same address

Pediatrics

282 WASHINGTON ST
Hartford, CT 06106

Reassigned Medicare billing, Connecticut enrollment
601 clinicians in this Medicare group

NPI 1669448882 (860) 545-9000

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

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.

DR. IRFAN AHMED WARSY MBBS

Pediatrics (Pediatric Cardiology)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9147

RYAN CIARLO MD

Pediatrics

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 837-5560

EUNICE HA-YOUNG KIM

Student in an Organized Health Care Education/Training Program

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-8340

JAMES HAGADORN MD

Pediatrics (Neonatal-Perinatal Medicine)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-8950

CRAIG SCHRAMM MD

Pediatrics (Pediatric Pulmonology)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9440

NICOLE LYNN BOONE PA

Physician Assistant (Surgical)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9000

SRAVYA GOURISHETTI

Student in an Organized Health Care Education/Training Program

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9000

SARAH FULLER MD

Emergency Medicine

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9000

HAYA NOOR QUTOB DO

Student in an Organized Health Care Education/Training Program

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9000

OLIVIA HOLUBECKI FNP-C

Nurse Practitioner (Pediatrics)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9290

SALIMA KAKSHAPATI MD

Student in an Organized Health Care Education/Training Program

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9000

MELISSA HELD MD

Pediatrics (Pediatric Infectious Diseases)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9000

AIMEE E BELAK MD

Pediatrics (Pediatric Emergency Medicine)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9000

EVAN FUSARO PA-C

Physician Assistant

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9520

ADAM SILVERMAN MD

Pediatrics (Pediatric Critical Care Medicine)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9200

SOLRUN MELKORKA MAGGADOTTIR M.D.

Student in an Organized Health Care Education/Training Program

282 WASHINGTON ST, MEDICAL EDUCATION, 4H
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9973

DR. KAMILLA SIGRIDUR JOSEFSDOTTIR M.D.

Student in an Organized Health Care Education/Training Program

282 WASHINGTON ST, MEDICAL EDUCATION, 4H
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9973

MS. MEREDITH ROSE LAKE CPNP-AC

Nurse Practitioner (Pediatrics)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9000

EMILY TYKSINSKI APRN

Nurse Practitioner (Pediatrics)

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-9000

TONOYA SENGUPTA

Student in an Organized Health Care Education/Training Program

282 WASHINGTON ST
HARTFORD, CT 06106

Capitol Planning Region (860) 545-8659

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 Kenneth Banasiak's NPI number?

The NPI number for Kenneth Banasiak is 1205818929. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Kenneth Banasiak located?

Kenneth Banasiak practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 545-9850.

What is Kenneth Banasiak's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kenneth Banasiak enrolled in Medicare?

Yes. Kenneth Banasiak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Banasiak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Banasiak reassigns Medicare benefits to Connecticut Children's Specialty Group, Inc. (Hartford, CT). The 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 Kenneth Banasiak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Banasiak accept?

Health plans from Anthem Blue Cross and Blue Shield list Kenneth Banasiak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Banasiak was last updated on September 9, 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.