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BANNER CARE LLC
NPI 1558051961
General Practice in Philadelphia, PA

Active since May 09, 2023CLIA 39D2285678 · Waiver
129 N 11TH ST, PHILADELPHIA, PA 19107(215) 613-6273 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 6, 2023, Jul 3, 2023, Jun 7, 2023 and 2 more (5 updates tracked since 2023).

About Banner Care Llc NPPES

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

BANNER CARE LLC (NPI 1558051961) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Ray A Abarintos, Owner, as its authorized official.

NPPES Registry Identity

NPI1558051961
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBANNER CARE LLC
Location Address129 N 11TH STPhiladelphia, PA 19107-2347
Mailing Address129 N 11th St Fl 1Philadelphia, PA 19107-2347 · (215) 613-6273 · Fax (215) 613-6463
Phone(215) 613-6273
Organization SubpartNo
Authorized OfficialRay A AbarintosOwner · (215) 613-6273
Enumeration DateMay 9, 2023
Last NPPES UpdateSeptember 22, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2023
✔ NPI 1558051961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
129 N 11TH ST, Philadelphia, PA 19107
Open in Google Maps ↗

Group Practice 2

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Banner Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ray Abarintos, MD
Family Practice
NPI 1417339516
129 N 11TH ST FL 1
Philadelphia, PA 19107
(267) 909-0362
✔ 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.

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 39D2285678

Banner Care LLC · Philadelphia, PA
Active · expires Jul 16, 2027
CLIA Number39D2285678
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorDr. Ray A. Abarintos
Laboratory Phone(215) 613-6273
Laboratory LocationBanner Care LLC129 N 11th St, 1fl, Philadelphia, PA 19107
CLIA data matches this NPI record on: Address Name Phone
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 Banner Care LLC's NPI number?

The NPI number for Banner Care LLC is 1558051961. It was assigned to this organization in the NPPES registry on May 9, 2023.

Where is Banner Care LLC located?

Banner Care LLC is located at 129 N 11th St, Philadelphia, PA 19107. The listed phone number is (215) 613-6273.

What is Banner Care LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Banner Care LLC enrolled in Medicare?

Yes. Banner Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Banner Care LLC. 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.

Does Banner Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2285678) is associated with this NPI, valid through July 16, 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 Banner Care LLC was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.