DR. BHOLA N. BANIK MD, PC
NPI 1306842646
Internal Medicine in Plainview, NY

Q: What is Bhola Banik's NPI number?

The NPI number for Bhola Banik is 1306842646. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Bhola Banik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bhola Banik was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 22, 2005PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

1097 OLD COUNTRY RD, STE 103, PLAINVIEW, NY 11803(516) 931-3131(516) 931-3140 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Bhola N. Banik Md, Pc NPPES

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

DR. BHOLA N. BANIK MD, PC (NPI 1306842646) is an individual internal medicine provider in Plainview, New York, licensed in New York (119027) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1969).

NPPES Registry Identity

NPI1306842646

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BHOLA N. BANIKCredential: MD, PC

Location Address1097 OLD COUNTRY RD, STE 103Plainview, NY 11803-6505

Mailing Address1097 Old Country Rd, Ste 103Plainview, NY 11803-6505 · (516) 931-3131

Phone(516) 931-3131

Fax(516) 931-3140

Sole ProprietorYes

Medical School CMSOtherGraduated 1969

Enumeration DateJune 22, 2005

Last NPPES UpdateAugust 26, 2022

NPPES CertifiedAugust 26, 2022

✔ NPI 1306842646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 119027

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.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 119027 (NY)

1097 OLD COUNTRY RD, Plainview, NY 11803

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Other Identifiers 1

Medicaid00222380NY

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. Bhola N. Banik Md, Pc 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 ID2163431131

PECOS Enrollment IDI20060419000622

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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

768 services154 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

474 services167 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

411 services99 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

281 services161 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

110 services97 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

101 services95 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

80 services72 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

72 services57 patients

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.

38 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

22 services22 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services20 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

20 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Plainview Hospital

Acute Care Hospitals · Plainview, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330331

Location888 Old Country RoadPlainview, NY 11803 · Nassau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers26 claims76 services$4.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

BHOLA N. BANIK, M.D., PC

Internal Medicine (Cardiovascular Disease)

1097 OLD COUNTRY RD, SUITE 103
PLAINVIEW, NY 11803

Nassau County (516) 931-3131

ENDOCRINOLOGY,DIABETES&METABOLISM,NY,PC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1097 OLD COUNTRY RD, SUITE 102
PLAINVIEW, NY 11803

Nassau County (516) 931-1007

ROBERT M SCOLNICK M.D.

Anesthesiology

1097 OLD COUNTRY RD, SUITE 104
PLAINVIEW, NY 11803

Nassau County (631) 878-4642

PLAINVIEW INTERNAL MEDICINE PC

Internal Medicine

1097 OLD COUNTRY RD, SUITE 201
PLAINVIEW, NY 11803

Nassau County (516) 827-5757

DR. ELLIOT A. GROSSMAN M.D.

Surgery

1097 OLD COUNTRY RD, SUITE 101
PLAINVIEW, NY 11803

Nassau County (516) 935-1821

DR. PAUL A BENDER DDS

Dentist (General Practice)

1097 OLD COUNTRY RD, SUITE 205
PLAINVIEW, NY 11803

Nassau County (516) 931-8001

DR. REUBEN J DAVID DDS

Dentist (Prosthodontics)

1097 OLD COUNTRY RD, SUITE 209
PLAINVIEW, NY 11803

Nassau County (516) 931-2290

DR. GLENN S LUDWIG D.M.D.

Dentist (Periodontics)

1097 OLD COUNTRY RD, SUITE 206
PLAINVIEW, NY 11803

Nassau County (516) 681-9500

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 Bhola Banik's NPI number?

The NPI number for Bhola Banik is 1306842646. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Bhola Banik located?

Bhola Banik practices at 1097 Old Country Rd Ste 103, Plainview, NY 11803. The listed phone number is (516) 931-3131.

What is Bhola Banik's specialty?

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

Is Bhola Banik enrolled in Medicare?

Yes. Bhola Banik 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.

Is Bhola Banik affiliated with any hospitals?

According to CMS data, Bhola Banik is affiliated with North Shore University Hospital and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Bhola Banik was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.