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FIDEL DAVID BANUELOS DO
NPI 1215670906
Student in an Organized Health Care Education/Training Program in Westlake, OH

Active since April 19, 2022PECOS Enrolled
29000 CENTER RIDGE RD STE 150, WESTLAKE, OH 44145(440) 827-5566 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fidel David Banuelos Do NPPES

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

FIDEL DAVID BANUELOS DO (NPI 1215670906) is an individual student in an organized health care education/training program in Westlake, Ohio and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215670906
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFIDEL DAVID BANUELOSCredential: DO
Location Address29000 CENTER RIDGE RD STE 150Westlake, OH 44145-5219
Mailing Address29000 Center Ridge Rd Ste 150Westlake, OH 44145-5219
Phone(440) 827-5566
Sole ProprietorNo
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1215670906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
29000 CENTER RIDGE RD STE 150, Westlake, OH 44145
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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 (PECOS)

Fidel David Banuelos Do 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE BRODE DO
Family Medicine
29000 CENTER RIDGE RD STE 150
WESTLAKE, OH 44145
Cuyahoga County (440) 777-3500
AUSTIN TYLER HAINES DO
Family Medicine (Sports Medicine)
29000 CENTER RIDGE RD STE 150
WESTLAKE, OH 44145
Cuyahoga County (440) 777-3500
MEJGON JOYA DO
Emergency Medicine
29000 CENTER RIDGE RD STE 150
WESTLAKE, OH 44145
Cuyahoga County (440) 827-5261
KEVAL P PATEL
Internal Medicine
29000 CENTER RIDGE RD STE 150
WESTLAKE, OH 44145
Cuyahoga County (440) 827-5566
ERIKA JONES DO
Student in an Organized Health Care Education/Training Program
29000 CENTER RIDGE RD STE 150
WESTLAKE, OH 44145
Cuyahoga County (216) 990-5751
VINCENT KAY HUYNH DO
Emergency Medicine
29000 CENTER RIDGE RD STE 150
WESTLAKE, OH 44145
Cuyahoga County (440) 827-5261

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 Fidel Banuelos's NPI number?

The NPI number for Fidel Banuelos is 1215670906. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Fidel Banuelos located?

Fidel Banuelos practices at 29000 Center Ridge Rd Ste 150, Westlake, OH 44145. The listed phone number is (440) 827-5566.

What is Fidel Banuelos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Fidel Banuelos enrolled in Medicare?

Yes. Fidel Banuelos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fidel Banuelos was last updated on April 19, 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.