BANU BERKEM NP
NPI 1225681992
Nurse Practitioner - Family in Avon, IN

Active since July 22, 2019PECOS Enrolled
1351 RONALD REAGAN PKWY STE B, AVON, IN 46123(317) 948-3200(317) 217-2424 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2025, Mar 23, 2021, Sep 18, 2019 and 1 more (4 updates tracked since 2019).

About Banu Berkem Np NPPES

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

BANU BERKEM NP (NPI 1225681992) is an individual family provider in Avon, Indiana, licensed in Indiana (71009084A) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Redington Fairview General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225681992
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBANU BERKEMCredential: NP
Location Address1351 RONALD REAGAN PKWY STE BAvon, IN 46123-6764
Mailing Address250 N Shadeland Ave Ste 200Indianapolis, IN 46219-4959 · Fax (765) 838-6448
Fax(317) 217-2424
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 22, 2019
Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1225681992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IN · 71009084A✔ Licensed in ME · CNP231124
Also ListedRegistered NurseTaxonomy 163W00000X · License 28193153A (IN)
1351 RONALD REAGAN PKWY STE B, Avon, IN 46123

Secondary Practice Locations 2

Location 16845 E US Highway 36Avon, IN 46123-9779 · Phone (317) 948-3200
Location 2344 Lakewood RdMadison, ME 04950-3015 · Phone (207) 474-2994 · Fax (207) 858-0102

Other Identifiers 2

Medicaid1225681992ME
Medicaid300030286IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banu Berkem Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638408834
PECOS Enrollment IDI20251026000440
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 Reassignments

7

Medicare enrollment records show Banu Berkem reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
Family Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 737 clinicians in this Medicare group
Family Medicine
525 ROUTE 73 N STE 117
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
Critical Access
46 FAIRVIEW AVE
Skowhegan, ME 04976
  • Reassigned Medicare billing, Maine enrollment
  • 124 clinicians in this Medicare group
Family Medicine
325 S 1ST ST STE 120
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
Family Medicine
1910 S STAPLEY DR STE 120
Mesa, AZ 85204
  • Reassigned Medicare billing, Arkansas enrollment
  • 5 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME
4/5 CMS rating
OwnershipProprietary
CMS Certification Number201314
Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Internal Medicine
1351 RONALD REAGAN PKWY STE B
AVON, IN 46123
Nurse Practitioner (Family)
1351 RONALD REAGAN PKWY STE B
AVON, IN 46123
Nurse Practitioner (Family)
1351 RONALD REAGAN PKWY STE B
AVON, IN 46123
Family Medicine
1351 RONALD REAGAN PKWY STE B
AVON, IN 46123
Family Medicine
1351 RONALD REAGAN PKWY STE B
AVON, IN 46123
Family Medicine
1351 RONALD REAGAN PKWY STE B
AVON, IN 46123

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 Banu Berkem's NPI number?

The NPI number for Banu Berkem is 1225681992. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Banu Berkem located?

Banu Berkem practices at 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123. The listed phone number is (317) 948-3200.

What is Banu Berkem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Banu Berkem enrolled in Medicare?

Yes. Banu Berkem is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Banu Berkem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Banu Berkem reassigns Medicare benefits to 7 organizations: Indiana University Health Care Associates, Inc (Indianapolis, IN), University Family Physicians, Inc. (Indianapolis, IN), Ez Health Medical Group East PC (Marlton, NJ), Mainegeneral Medical Center (Augusta, ME), Redington-Fairview General Hospital (Skowhegan, ME) and 2 more organizations, listed in the Medicare section above. Each 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 Banu Berkem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Banu Berkem accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, CareSource and CareSource (Common Ground Healthcare) list Banu Berkem 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.

Is Banu Berkem affiliated with any hospitals?

According to CMS data, Banu Berkem is affiliated with Redington Fairview General Hospital.

When was this NPI record last updated?

The NPPES record for Banu Berkem was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.