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

Active since September 27, 2006CLIA 45D0478754 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through August 31, 2026 and 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0478754

Dr Chaim Banjo MD, Phd · Terrell, TX
Active · expires Aug 31, 2026
CLIA Number45D0478754
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChaim Banjo
Laboratory Phone(214) 551-1900
Laboratory LocationDr Chaim Banjo MD, Phd718 West Moore Suite 101, Terrell, TX 75160
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Does Chaim Banjo MD Phd PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0478754) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.