MOUNICA BANALA MD
NPI 1457746117
Internal Medicine in Temple Terrace, FL

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637(813) 779-6303 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2021, Apr 6, 2019 (2 updates tracked since 2019).

About Mounica Banala Md NPPES

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

MOUNICA BANALA MD (NPI 1457746117) is an individual internal medicine provider in Temple Terrace, Florida, licensed in Florida (ME136211) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2015).

NPPES Registry Identity

NPI1457746117
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMOUNICA BANALACredential: MD
Location Address13067 N TELECOM PKWYTemple Terrace, FL 33637-0926
Mailing Address13067 N Telecom PkwyTemple Terrace, FL 33637-0926 · (813) 779-6303
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2015
Enumeration DateMarch 31, 2015
Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
NPI 1457746117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME136211
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.
13067 N TELECOM PKWY, Temple Terrace, FL 33637

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

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

Mounica Banala 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 ID6608183942
PECOS Enrollment IDI20190201001617
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 4

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.
392 services134 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.
83 services81 patients
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.
25 services16 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33637 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$62.86 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 20

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

Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Nurse Practitioner (Adult Health)
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Nurse Practitioner
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637
Internal Medicine
13067 N TELECOM PKWY
TEMPLE TERRACE, FL 33637

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 Mounica Banala's NPI number?

The NPI number for Mounica Banala is 1457746117. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Mounica Banala located?

Mounica Banala practices at 13067 N Telecom Pkwy, Temple Terrace, FL 33637. The listed phone number is (813) 779-6303.

What is Mounica Banala's specialty?

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

Is Mounica Banala enrolled in Medicare?

Yes. Mounica Banala 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 Mounica Banala accept?

Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint list Mounica Banala 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 Mounica Banala affiliated with any hospitals?

According to CMS data, Mounica Banala is affiliated with Adventhealth North Pinellas and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Mounica Banala was last updated on February 9, 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.