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DR. ABHIGYAN RATAN BANKA M.D.
NPI 1609121847
Family Medicine in Beech Grove, IN

Active since July 13, 2012PECOS EnrolledAccepts Medicare Assignment
2030 CHURCHMAN AVE STE A, BEECH GROVE, IN 46107(317) 786-9285(317) 781-2793 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2023, May 10, 2022, Mar 13, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Abhigyan Ratan Banka M.d. NPPES

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

DR. ABHIGYAN RATAN BANKA M.D. (NPI 1609121847) is an individual family medicine provider in Beech Grove, Indiana, licensed in Indiana (01075178A) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Mooresville, and maintains a secondary practice location in Franklin.

NPPES Registry Identity

NPI1609121847
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ABHIGYAN RATAN BANKACredential: M.D.
Location Address2030 CHURCHMAN AVE STE ABeech Grove, IN 46107-1044
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(317) 786-9285
Fax(317) 781-2793
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 13, 2012
Last NPPES UpdateFebruary 20, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
✔ NPI 1609121847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01075178A✔ Licensed in GA · 05745
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2030 CHURCHMAN AVE STE A, Beech Grove, IN 46107
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Secondary Practice Location 1

Location 155 N Milford DrFranklin, IN 46131-7308 · Phone (317) 739-4848 · Fax (317) 346-4062

Other Identifiers 1

Medicaid201311210IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Abhigyan Ratan Banka M.d. 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 ID8123255155
PECOS Enrollment IDI20151005001527
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
247 services156 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
195 services140 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
154 services154 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
66 services40 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
64 services38 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150057
Location1201 Hadley RdMooresville, IN 46158 · Morgan County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46107 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims36 services$6.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Abhigyan Banka's NPI number?

The NPI number for Abhigyan Banka is 1609121847. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Abhigyan Banka located?

Abhigyan Banka practices at 2030 Churchman Ave Ste A, Beech Grove, IN 46107. The listed phone number is (317) 786-9285.

What is Abhigyan Banka's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Abhigyan Banka enrolled in Medicare?

Yes. Abhigyan Banka 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 Abhigyan Banka accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Abhigyan Banka 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 Abhigyan Banka affiliated with any hospitals?

According to CMS data, Abhigyan Banka is affiliated with Franciscan Health Mooresville and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Abhigyan Banka was last updated on February 20, 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.