EARLE FAMILY MEDICAL CLINIC
NPI 1639319411
Clinic/Center - Rural Health in Earle, AR

Q: 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.

Q: 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.

Active since March 06, 2009CLIA 04D1093103 · Microscopy

1605 SECOND STREET, EARLE, AR 72331(870) 792-8825(870) 792-8834 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1639319411

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSUDESH BANAJI MD PLLC

Location Address1605 SECOND STREETEarle, AR 72331-1634

Mailing Address332 E Cook StForrest City, AR 72335-2830 · (870) 630-2233 · Fax (870) 630-2224

Phone(870) 792-8825

Fax(870) 792-8834

Organization SubpartNo

Authorized OfficialSudesh BanajiOwner · (870) 792-8825

Enumeration DateMarch 6, 2009

Last NPPES UpdateMay 16, 2014

✔ NPI 1639319411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in AR · E2405

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

1605 SECOND STREET, Earle, AR 72331

Open in Google Maps ↗

Other Names 1

Doing Business AsEarle Family Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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, AR

Active · expires Dec 9, 2026

CLIA Number04D1093103

Laboratory TypePhysician Office

Certificate Effective DateDecember 10, 2024

Certificate Expiration DateDecember 9, 2026

Laboratory DirectorSudesh Banaji

Laboratory Phone(870) 792-8825

Laboratory LocationEarle Family Medical Clinic1605 Second Street, Earle, AR 72331

CLIA data matches this NPI record on: Address Name 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 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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers 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.