DR. NTANGO DESIRE BANANI M.D.
NPI 1578797833
General Practice in Red Bluff, CA

Q: What is Ntango Banani's NPI number?

The NPI number for Ntango Banani is 1578797833. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Q: What is Ntango Banani's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ntango Banani was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 14, 2009PECOS Enrolled

1425 MONTGOMERY RD, RED BLUFF, CA 96080(530) 528-8600 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Ntango Desire Banani M.d. NPPES

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

DR. NTANGO DESIRE BANANI M.D. (NPI 1578797833) is an individual general practice provider in Red Bluff, California, licensed in Tennessee (MD0000053676) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578797833

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. NTANGO DESIRE BANANICredential: M.D.

Location Address1425 MONTGOMERY RDRed Bluff, CA 96080-4605

Mailing Address1425 Montgomery RdRed Bluff, CA 96080-4605 · (530) 528-8600

Phone(530) 528-8600

Sole ProprietorNo

Enumeration DateMay 14, 2009

Last NPPES UpdateDecember 5, 2016

✔ NPI 1578797833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in TN · MD0000053676

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

1425 MONTGOMERY RD, Red Bluff, CA 96080

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ntango Desire Banani M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 11

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

DR. MANOELA FONSECA DENMAN M.D.

Psychiatry & Neurology (Psychiatry)