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CHAIM BANJO MD PHD PA
NPI 1366533952
Internal Medicine - Cardiovascular Disease in Terrell, TX

Active since September 27, 2006
718 W MOORE AVE, 101, TERRELL, TX 75160(972) 551-1900 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chaim Banjo Md Phd Pa NPPES

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

CHAIM BANJO MD PHD PA (NPI 1366533952) is a healthcare organization registered as a cardiovascular disease in Terrell, Texas and active in the NPI registry since September 2006. The organization lists Chaim Banjo, Owner, as its authorized official.

NPPES Registry Identity

NPI1366533952
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCHAIM BANJO MD PHD PA
Location Address718 W MOORE AVE, 101Terrell, TX 75160
Mailing Address718 W Moore Ave, 101Terrell, TX 75160 · (972) 551-1900
Phone(972) 551-1900
Organization SubpartNo
Authorized OfficialChaim BanjoOwner · (972) 686-7947
Enumeration DateSeptember 27, 2006
Last NPPES UpdateMarch 8, 2011
✔ NPI 1366533952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · G4442
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
718 W MOORE AVE, Terrell, TX 75160
Open in Google Maps ↗

Other Identifiers 8

Medicare PINTXB115160TX
Medicare PINOOFT68TX
Medicare PINTXB115159TX
Other85A011TX · Rendering Provider
Medicare UPINC13129
Medicare PINOOGE25TX
Medicaid109453402TX
Medicare PIN85A011TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chaim Banjo Md Phd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20110105000826Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Chaim Banjo MD Phd PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chaim Banjo, MD PHD
Internal Medicine
NPI 1588730121
718 W MOORE AVE STE 101
Terrell, TX 75160
(972) 551-1900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chaim Banjo MD Phd PA's NPI number?

The NPI number for Chaim Banjo MD Phd PA is 1366533952. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Chaim Banjo MD Phd PA located?

Chaim Banjo MD Phd PA is located at 718 W Moore Ave 101, Terrell, TX 75160. The listed phone number is (972) 551-1900.

What is Chaim Banjo MD Phd PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Chaim Banjo MD Phd PA enrolled in Medicare?

Yes. Chaim Banjo MD Phd PA is registered in the Medicare PECOS enrollment system.

When is Chaim Banjo MD Phd PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Chaim Banjo MD Phd PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Chaim Banjo MD Phd PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Chaim Banjo MD Phd PA accept?

Health plans from Blue Cross and Blue Shield of Texas list Chaim Banjo MD Phd PA 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.

When was this NPI record last updated?

The NPPES record for Chaim Banjo MD Phd PA was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.