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BANYATIE BAH-TRAORE
NPI 1700751542
Nurse Practitioner - Family in South Windsor, CT

Active since October 10, 2025PECOS Enrolled
525 BUCKLAND RD, SOUTH WINDSOR, CT 06074(860) 644-4241 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2026, Feb 3, 2026, Oct 10, 2025 (3 updates tracked since 2025).

About Banyatie Bah-traore NPPES

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

BANYATIE BAH-TRAORE (NPI 1700751542) is an individual family provider in South Windsor, Connecticut, licensed in Connecticut (15391) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1700751542
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBANYATIE BAH-TRAORE
Location Address525 BUCKLAND RDSouth Windsor, CT 06074-3746
Mailing Address525 Buckland RdSouth Windsor, CT 06074-3746 · (860) 644-4241
Phone(860) 644-4241
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 10, 2025
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1700751542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 15391
525 BUCKLAND RD, South Windsor, CT 06074
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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)

Banyatie Bah-traore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274027362
PECOS Enrollment IDI20251216002687
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06074 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 14

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

CONNECTICUT CVS PHARMACY LLC
Pharmacy
525 BUCKLAND RD
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4241
QUINCY EDWIGE JACQUES
Pharmacist
525 BUCKLAND RD
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4241
LINDA T OSEI
Pharmacist
525 BUCKLAND RD
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4241
MELISSA PECKHAM
Pharmacist
525 BUCKLAND RD
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4241
STACEY ROY
Nurse Practitioner (Family)
525 BUCKLAND RD
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4241
SONAM SUTARIA
Pharmacist
525 BUCKLAND RD
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4241
LAUREN DICKSON PHARMD
Pharmacist
525 BUCKLAND RD
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 633-4668
JUSTIN SMITH
Pharmacist
525 BUCKLAND RD
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 644-4241

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 Banyatie Bah-traore's NPI number?

The NPI number for Banyatie Bah-traore is 1700751542. It was assigned to this individual provider in the NPPES registry on October 10, 2025.

Where is Banyatie Bah-traore located?

Banyatie Bah-traore practices at 525 Buckland Rd, South Windsor, CT 06074. The listed phone number is (860) 644-4241.

What is Banyatie Bah-traore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Banyatie Bah-traore enrolled in Medicare?

Yes. Banyatie Bah-traore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Banyatie Bah-traore was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.