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DR. DESMOND WALTER EBANKS MD
NPI 1275781122
Internal Medicine in West Hartford, CT

Active since September 04, 2008Opted out of Medicare · through Jan 25, 2028
639 PARK RD, 2ND FLOOR, WEST HARTFORD, CT 06107(860) 748-4064(860) 838-2507 Get Directions Write a Review

NPPES record last updated: September 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Desmond Walter Ebanks Md NPPES

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

DR. DESMOND WALTER EBANKS MD (NPI 1275781122) is an individual internal medicine provider in West Hartford, Connecticut, licensed in Connecticut (34291) and active in the NPI registry since September 2008. He has opted out of Medicare through January 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275781122
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DESMOND WALTER EBANKSCredential: MD
Location Address639 PARK RD, 2ND FLOORWest Hartford, CT 06107-3443
Mailing Address220 Albany Tpke, Suite 164Canton, CT 06019-2520 · (860) 748-4064 · Fax (860) 838-2507
Phone(860) 748-4064
Fax(860) 838-2507
Sole ProprietorYes
Enumeration DateSeptember 4, 2008
✔ NPI 1275781122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 34291
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
639 PARK RD, West Hartford, CT 06107
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Other Identifiers 1

Medicare UPINF04438CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Desmond Walter Ebanks Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 25, 2018 through January 25, 2028.

Opt-Out Effective DateJanuary 25, 2018
Opt-Out In Effect ThroughJanuary 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06107 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 7

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

JUDITH M. MASCOLO, MD, LLC
Family Medicine
639 PARK RD, STE 100
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 233-4600
CONNECTICUT EYE CENTER, P.C.
Ophthalmology
639 PARK RD, SUITE #100
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-9230
MS. KAREN DIANE CAFFREY LPC
Counselor (Mental Health)
639 PARK RD
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 313-0039
PATRICK F ALBERGO M.D.
Specialist
639 PARK RD, SUITE #100
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-9230
DUANE F AUSTIN M.D.
Ophthalmology
639 PARK RD, SUITE #100
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 521-9230
DR. DEANNA MARIE CHERRONE M.D.
Internal Medicine
639 PARK RD
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 677-4600
DR. JUDITH M MASCOLO M.D.
Family Medicine
639 PARK RD, SUITE 100
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 233-4600

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 Desmond Ebanks's NPI number?

The NPI number for Desmond Ebanks is 1275781122. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Desmond Ebanks located?

Desmond Ebanks practices at 639 Park Rd 2nd Floor, West Hartford, CT 06107. The listed phone number is (860) 748-4064.

What is Desmond Ebanks's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Desmond Ebanks enrolled in Medicare?

No. Desmond Ebanks has opted out of Medicare through January 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Desmond Ebanks was last updated on September 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.