DR. LEOU ISMAEL BANLA MD PHD
NPI 1255969267
Radiology - Radiation Oncology in Boston, MA

Q: What is Leou Ismael Banla's NPI number?

The NPI number for Leou Ismael Banla is 1255969267. It was assigned to this individual provider in the NPPES registry on March 27, 2020. The provider is also known as Ismael Banla.

Q: What is Leou Ismael Banla's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Leou Ismael Banla was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment

55 FRUIT ST, BOSTON, MA 02114(617) 726-2000 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, Mar 27, 2020 (2 updates tracked since 2020).

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About Dr. Leou Ismael Banla Md Phd NPPES

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

DR. LEOU ISMAEL BANLA MD PHD (NPI 1255969267) is an individual radiation oncology provider in Boston, Massachusetts, licensed in Massachusetts (1014502) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Medical College Of Wisconsin (2020).

NPPES Registry Identity

NPI1255969267

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. LEOU ISMAEL BANLACredential: MD PHD

Location Address55 FRUIT STBoston, MA 02114-2696

Mailing Address5000 W Chambers StMilwaukee, WI 53210-1688 · (414) 447-2195

Phone(617) 726-2000

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2020

Enumeration DateMarch 27, 2020

Last NPPES UpdateJune 11, 20252 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1255969267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in MA · 1014502

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

55 FRUIT ST, Boston, MA 02114

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Other Names 1

Other Name (5)Ismael Banla

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Leou Ismael Banla Md Phd 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 ID3577076298

PECOS Enrollment IDI20250626003783

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.

Hospital Affiliations CMS Care Compare

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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

$189.86 typical visit price

range $63.72 – $189.86

Typical copayment $47.46 (range $15.93 – $47.46)

Most-billed visit code 99205

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

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 20

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

STUTI GIRISH SHROFF MD, MBBS

Pathology (Anatomic Pathology)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 726-2971

NANCY WANG M.D.

Internal Medicine (Hematology & Oncology)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (017) 724-4000

DR. DUSAN HANIDZIAR M.D., PH.D.

Anesthesiology

55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114

Suffolk County (617) 726-3030

JOHN JOSEPH DANKO DO

Physical Medicine & Rehabilitation

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 726-2000

DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.

Internal Medicine (Infectious Disease)

55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114

Suffolk County (617) 724-9248

MS. KELLY ELISHA TRECARTIN NP

Nurse Practitioner (Acute Care)

55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114

Suffolk County (617) 726-7400

JAMIE MARIE ALLEN NP

Nurse Practitioner

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 724-4410

DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.

Internal Medicine (Cardiovascular Disease)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 643-3238

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 Leou Ismael Banla's NPI number?

The NPI number for Leou Ismael Banla is 1255969267. It was assigned to this individual provider in the NPPES registry on March 27, 2020. The provider is also known as Ismael Banla.

Where is Leou Ismael Banla located?

Leou Ismael Banla practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Leou Ismael Banla's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Leou Ismael Banla enrolled in Medicare?

Yes. Leou Ismael Banla 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.

What insurance does Leou Ismael Banla accept?

Health plans from Anthem Blue Cross and Blue Shield list Leou Ismael Banla 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 Leou Ismael Banla affiliated with any hospitals?

According to CMS data, Leou Ismael Banla is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Leou Ismael Banla was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.