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DR. LUONG M. BANH M.D.
NPI 1457560609
Hospitalist in Cedar Rapids, IA

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
1026 A AVENUE NE, ST. LUKE'S HOSPITALIST PROGRAM, CEDAR RAPIDS, IA 52402(319) 368-5970(319) 368-5973 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Luong M. Banh M.d. NPPES

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

DR. LUONG M. BANH M.D. (NPI 1457560609) is an individual hospitalist provider in Cedar Rapids, Iowa, licensed in Iowa (39131) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1457560609
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. LUONG M. BANHCredential: M.D.
Location Address1026 A AVENUE NE, ST. LUKE'S HOSPITALIST PROGRAMCedar Rapids, IA 52402
Mailing Address1026 A Avenue Ne, St. Luke's Hospitalist ProgramCedar Rapids, IA 52402 · (319) 368-5970 · Fax (319) 368-5973
Phone(319) 368-5970
Fax(319) 368-5973
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2006
Enumeration DateMay 22, 2007
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1457560609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IA · 39131
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1026 A AVENUE NE, Cedar Rapids, IA 52402
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Secondary Practice Locations 4

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 384-9979 · Fax (319) 353-8073
Location 22450 Coral CtCoralville, IA 52241-2975 · Phone (319) 645-3300 · Fax (319) 645-3695
Location 3701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 356-4019 · Fax (319) 356-3949
Location 4500 E Market StIowa City, IA 52245-2633 · Phone (319) 339-3551 · Fax (319) 248-7945

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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. Luong M. Banh M.d. 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 ID1557416179
PECOS Enrollment IDI20101103001005
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 7

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
899 services350 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
165 services159 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
66 services66 patients
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.
44 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services38 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.
34 services28 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Iowa Health Care Medical Center Down

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160029
Location500 E Market StreetIowa City, IA 52245 · Johnson County
Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52402 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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

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

DR. MARY LOUISE HLAVIN M.D.
Neurological Surgery
1026 A AVENUE NE, SUITE 5000
CEDAR RAPIDS, IA 52402
Linn County (319) 369-7085

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 Luong Banh's NPI number?

The NPI number for Luong Banh is 1457560609. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Luong Banh located?

Luong Banh practices at 1026 A Avenue NE St. Luke's Hospitalist Program, Cedar Rapids, IA 52402. The listed phone number is (319) 368-5970.

What is Luong Banh's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Luong Banh enrolled in Medicare?

Yes. Luong Banh 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 Luong Banh accept?

Health plans from Medica and Sanford Health Plan list Luong Banh 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 Luong Banh affiliated with any hospitals?

According to CMS data, Luong Banh is affiliated with University Of Iowa Health Care Medical Center Down and University Of Iowa Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Luong Banh was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.