BANAIE MEDICAL CORPORATION
NPI 1528083474
Internal Medicine - Gastroenterology in La Mesa, CA
About Banaie Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANAIE MEDICAL CORPORATION (NPI 1528083474) is a healthcare organization registered as a gastroenterology in La Mesa, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Ali Banaie, Sole Proprietor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Banaie Medical Corporation 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.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Banaie Medical Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D1036648
Banaie Medical Corporation Ali Banaie · La Mesa, CAFrequently 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 Banaie Medical Corporation's NPI number?
The NPI number for Banaie Medical Corporation is 1528083474. It was assigned to this organization in the NPPES registry on July 13, 2006.
Where is Banaie Medical Corporation located?
Banaie Medical Corporation is located at 8860 Center Drive Suite 420, La Mesa, CA 91942. The listed phone number is (619) 469-5400.
What is Banaie Medical Corporation's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Banaie Medical Corporation enrolled in Medicare?
Yes. Banaie Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Banaie Medical Corporation'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 (California, 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 Banaie Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Banaie Medical Corporation, in Gastroenterology, Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Banaie Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1036648) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Banaie Medical Corporation was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Banaie Medical Corporation · NPI 1528083474
Gastroenterology organization in La Mesa, California. Organization record, active in the CMS NPPES registry since July 13, 2006.
## Identity
- **NPI:** 1528083474 (Entity type: Organization)
- **Enumerated:** July 13, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Ali Banaie, SOLE PROPRIETOR
## Practice location
- **Address:** 8860 CENTER DRIVE, SUITE 420, La Mesa, CA 91942-3020
- **Phone:** (619) 469-5400 · **Fax:** (619) 464-1311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (2), Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2021
- **Other identifiers:** Other W17381 (CA); Medicaid 00A873080 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528083474) · Data from the CMS NPPES public registry.