EARLE FAMILY MEDICAL CLINIC
NPI 1639319411
Clinic/Center - Rural Health in Earle, AR
About Earle Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EARLE FAMILY MEDICAL CLINIC (NPI 1639319411) is a healthcare organization registered as a rural health in Earle, Arkansas and active in the NPI registry since March 2009. The organization holds a CLIA Microscopy certificate valid through December 9, 2026 and lists Sudesh Banaji, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Earle Family Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Earle Family Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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) 04D1093103
Earle Family Medical Clinic · Earle, ARFrequently 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 Sudesh Banaji MD PLLC's NPI number?
The NPI number for Sudesh Banaji MD PLLC is 1639319411. It was assigned to this organization in the NPPES registry on March 6, 2009. The provider is doing business as Earle Family Medical Clinic.
Where is Sudesh Banaji MD PLLC located?
Sudesh Banaji MD PLLC is located at 1605 Second Street, Earle, AR 72331. The listed phone number is (870) 792-8825.
What is Sudesh Banaji MD PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Sudesh Banaji MD PLLC enrolled in Medicare?
Yes. Sudesh Banaji MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sudesh Banaji MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Sudesh Banaji MD PLLC. 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sudesh Banaji MD PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D1093103) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sudesh Banaji MD PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sudesh Banaji MD PLLC 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.
When was this NPI record last updated?
The NPPES record for Sudesh Banaji MD PLLC was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Earle Family Medical Clinic · NPI 1639319411
Rural Health organization in Earle, Arkansas. Organization record, active in the CMS NPPES registry since March 6, 2009.
## Identity
- **NPI:** 1639319411 (Entity type: Organization)
- **Enumerated:** March 6, 2009
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Sudesh Banaji Md Pllc
- **Organization subpart:** No
- **Authorized official:** Sudesh Banaji, OWNER
## Practice location
- **Address:** 1605 SECOND STREET, Earle, AR 72331-1634
- **Phone:** (870) 792-8825 · **Fax:** (870) 792-8834
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2014
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1639319411) · Data from the CMS NPPES public registry.