JOHN J BANIEWICZ MD
NPI 1285740530
Internal Medicine in Mentor, OH
About John J Baniewicz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN J BANIEWICZ MD (NPI 1285740530) is an individual internal medicine provider in Mentor, Ohio, licensed in Ohio (35-058500) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Northeastern Ohio University College Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John J Baniewicz 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.
Medicare Billing Reassignment
Medicare enrollment records show John Baniewicz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mentor, OH 44060
- Reassigned Medicare billing, Ohio enrollment
- 285 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uh Regional Hospitals
Acute Care Hospitals · Chardon, OHLake Health
Acute Care Hospitals · Concord, OHUh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MENTOR, OH 44060
MENTOR, OH 44060
MENTOR, OH 44060
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 John Baniewicz's NPI number?
The NPI number for John Baniewicz is 1285740530. It was assigned to this individual provider in the NPPES registry on August 21, 2006.
Where is John Baniewicz located?
John Baniewicz practices at 9485 Mentor Ave Ste 210, Mentor, OH 44060. The listed phone number is (440) 205-5835.
What is John Baniewicz's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Baniewicz enrolled in Medicare?
Yes. John Baniewicz 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.
Which organization bills Medicare for John Baniewicz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Baniewicz reassigns Medicare benefits to Lake Hospital System, Inc. (Mentor, OH). The 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 John Baniewicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Baniewicz accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list John Baniewicz 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 John Baniewicz affiliated with any hospitals?
According to CMS data, John Baniewicz is affiliated with Uh Regional Hospitals, Lake Health and Uh Cleveland Medical Center.
When was this NPI record last updated?
The NPPES record for John Baniewicz was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John J Baniewicz, MD · NPI 1285740530
Internal Medicine physician in Mentor, Ohio. Individual provider, active in the CMS NPPES registry since August 21, 2006.
## Identity
- **NPI:** 1285740530 (Entity type: Individual)
- **Enumerated:** August 21, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 35-058500 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 9485 MENTOR AVE, STE 210, Mentor, OH 44060
- **Phone:** (440) 205-5835 · **Fax:** (440) 205-5735
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lake Hospital System, Inc. (NPI 1710207329, Mentor, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 1988
## Record status
- **NPPES last updated:** March 1, 2021
- **Other identifiers:** Medicaid 0854160 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1285740530) · Data from the CMS NPPES public registry.