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DENISE CANTU BANNISTER, M.D.,P.A.
NPI 1558666016
Internal Medicine in Richardson, TX

Active since January 14, 2011CLIA 45D0954333 · Microscopy
403 W CAMPBELL RD, STE. 410, RICHARDSON, TX 75080(972) 498-8670(972) 498-8676 Get Directions Write a Review

NPPES record last updated: January 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Denise Cantu Bannister, M.d.,p.a. NPPES

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

DENISE CANTU BANNISTER, M.D.,P.A. (NPI 1558666016) is a healthcare organization registered as an internal medicine in Richardson, Texas and active in the NPI registry since January 2011. The organization holds a CLIA Microscopy certificate valid through November 23, 2026 and lists Denise Cantu Bannister, President, as its authorized official.

NPPES Registry Identity

NPI1558666016
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDENISE CANTU BANNISTER, M.D.,P.A.
Location Address403 W CAMPBELL RD, STE. 410Richardson, TX 75080-3465
Mailing Address403 W Campbell Rd, Ste. 410Richardson, TX 75080-3465 · (972) 498-8670 · Fax (972) 498-8676
Phone(972) 498-8670
Fax(972) 498-8676
Organization SubpartNo
Authorized OfficialDenise Cantu BannisterPresident · (972) 498-8670
Enumeration DateJanuary 14, 2011
✔ NPI 1558666016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J8482
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.
403 W CAMPBELL RD, Richardson, TX 75080
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Other Identifiers 1

Medicare UPING42414TX

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Cantu Bannister, M.d.,p.a. 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 Denise Cantu Bannister, M.D.,p.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Denise Bannister, M.D.
Internal Medicine
NPI 1326059130
403 W CAMPBELL RD STE. 410
Richardson, TX 75080
(972) 498-8670
✔ 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 for Provider-Performed Microscopy Procedures (PPMP) 45D0954333

Denise Cantu Bannister MD PA · Richardson, TX
Active · expires Nov 23, 2026
CLIA Number45D0954333
Laboratory TypeHospital
Certificate Effective DateNovember 24, 2024
Certificate Expiration DateNovember 23, 2026
Laboratory DirectorDenise C. Bannister
Laboratory Phone(972) 498-8670
Laboratory LocationDenise Cantu Bannister MD PA403 W Campbell Road Ste 410, Richardson, TX 75080
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Denise Cantu Bannister, M.D.,p.A.'s NPI number?

The NPI number for Denise Cantu Bannister, M.D.,p.A. is 1558666016. It was assigned to this organization in the NPPES registry on January 14, 2011.

Where is Denise Cantu Bannister, M.D.,p.A. located?

Denise Cantu Bannister, M.D.,p.A. is located at 403 W Campbell Rd Ste. 410, Richardson, TX 75080. The listed phone number is (972) 498-8670.

What is Denise Cantu Bannister, M.D.,p.A.'s specialty?

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

Is Denise Cantu Bannister, M.D.,p.A. enrolled in Medicare?

Yes. Denise Cantu Bannister, M.D.,p.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Denise Cantu Bannister, M.D.,p.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Denise Cantu Bannister, M.D.,p.A.. 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 Denise Cantu Bannister, M.D.,p.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0954333) is associated with this NPI, valid through November 23, 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 Denise Cantu Bannister, M.D.,p.A. was last updated on January 14, 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.