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

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
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: August 16, 2026.

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 is a graduate of Rutgers New Jersey Medical School (1989).

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
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1989
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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Other Identifiers 3

Medicaid30208101NH
Medicaid001354513CT
Medicaid433063199ME

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

Kenneth J Banasiak Md 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 ID5799733416
PECOS Enrollment IDI20050110000784
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.

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
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

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 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 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 3 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.