DR. MONICA KELLY BANALES MD
NPI 1295319846
Family Medicine in Chicago, IL

Q: What is Monica Banales's NPI number?

The NPI number for Monica Banales is 1295319846. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Q: What is Monica Banales's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Monica Banales was last updated on May 10, 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.

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment

1901 W HARRISON ST, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Monica Kelly Banales Md NPPES

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

DR. MONICA KELLY BANALES MD (NPI 1295319846) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125077850) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2021).

NPPES Registry Identity

NPI1295319846

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MONICA KELLY BANALESCredential: MD

Location Address1901 W HARRISON STChicago, IL 60612-3714

Mailing Address1901 W Harrison StChicago, IL 60612-3714 · (312) 864-6000

Phone(312) 864-6000

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2021

Enumeration DateMay 10, 2021

NPPES CertifiedMay 10, 2021

✔ NPI 1295319846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125077850

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1901 W HARRISON ST, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Monica Kelly Banales 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.

PECOS PAC ID3274935457

PECOS Enrollment IDI20240819000457

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services21 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 20

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

JOHANNA WEFES-POTTER

Emergency Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (847) 843-2000

ARON BERHANU GUDETTA MD

Internal Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-6000

DR. LIGAYA VILLAFRANCA MARASIGAN M.D.

Obstetrics & Gynecology (Gynecology)

1901 W HARRISON ST
CHICAG, IL 60612

Cook County (312) 864-5901

TIN TIN THOMAS M.D.

Internal Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-6000

COOK COUNTY

Pharmacy (Clinic Pharmacy)

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-6189

HELEN ELIZABETH STRAUS MD

Emergency Medicine

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (312) 864-0060

MR. GLEN DERRICK TRAMMELL PA-C

Physician Assistant

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (773) 869-7488

JOHN H STROGER, JR. HOSPITAL OF COOK COUNTY

General Acute Care Hospital

1901 W HARRISON ST
CHICAGO, IL 60612

Cook County (773) 319-2085

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 Monica Banales's NPI number?

The NPI number for Monica Banales is 1295319846. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Monica Banales located?

Monica Banales practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Monica Banales's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monica Banales enrolled in Medicare?

Yes. Monica Banales 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 Monica Banales accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Monica Banales 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 Monica Banales affiliated with any hospitals?

According to CMS data, Monica Banales is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Monica Banales was last updated on May 10, 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.