THEODORE BANIA MD
NPI 1669546297
Emergency Medicine in New York, NY

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
1000 10TH AVE, NEW YORK, NY 10019(212) 523-6745 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore Bania Md NPPES

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

THEODORE BANIA MD (NPI 1669546297) is an individual emergency medicine provider in New York, New York, licensed in New York (181163) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of State University Of Ny Upstate Medical University (1988).

NPPES Registry Identity

NPI1669546297
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHEODORE BANIACredential: MD
Location Address1000 10TH AVENew York, NY 10019-1147
Mailing Address407 Airport Executive ParkNanuet, NY 10954-5288
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1988
Enumeration DateNovember 17, 2006
Last NPPES UpdateMarch 7, 2022
NPPES CertifiedMarch 1, 2022
NPI 1669546297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 181163
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Medical ToxicologyTaxonomy 207PT0002X · License 181163 (NY)
1000 10TH AVE, New York, NY 10019

Other Identifiers 1

Medicaid01621310NY

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

Theodore Bania Md 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 ID42396186
PECOS Enrollment IDI20080328000653
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
54 services54 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
50 services47 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Hematology)
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Emergency Medicine
1000 10TH AVE
NEW YORK, NY 10019
Pediatrics
1000 10TH AVE
NEW YORK, NY 10019
Radiology (Diagnostic Radiology)
1000 10TH AVE, SUITE 4B14
NEW YORK, NY 10019
Internal Medicine
1000 10TH AVE, ST. LUKE'S ROOSEVELT - DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019

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 Theodore Bania's NPI number?

The NPI number for Theodore Bania is 1669546297. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Theodore Bania located?

Theodore Bania practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-6745.

What is Theodore Bania's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theodore Bania enrolled in Medicare?

Yes. Theodore Bania 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.

Is Theodore Bania affiliated with any hospitals?

According to CMS data, Theodore Bania is affiliated with Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Bania was last updated on March 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.