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MARY ANN DE BANATE M.D.
NPI 1720321730
Pediatrics - Developmental - Behavioral Pediatrics in Farmington, CT

Active since March 28, 2013PECOS Enrolled
11 SOUTH RD STE 120, FARMINGTON, CT 06032(860) 837-5758 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2025, Nov 20, 2023, Feb 10, 2023 and 1 more (4 updates tracked since 2017).

About Mary Ann De Banate M.d. NPPES

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

MARY ANN DE BANATE M.D. (NPI 1720321730) is an individual developmental - behavioral pediatrics provider in Farmington, Connecticut, licensed in Connecticut (73338) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720321730
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameMARY ANN DE BANATECredential: M.D.
Location Address11 SOUTH RD STE 120Farmington, CT 06032-2483
Mailing Address11 South Rd Ste 120Farmington, CT 06032-2483 · (860) 837-5758 · Fax (860) 837-5235
Phone(860) 837-5758
Sole ProprietorNo
Enumeration DateMarch 28, 2013
Last NPPES UpdateFebruary 12, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1720321730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in CT · 73338
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License LP04900 (RI), 73338 (CT), 268200 (MA)
11 SOUTH RD STE 120, Farmington, CT 06032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ann De Banate M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

SAMANTHA WESOLY MS
Genetic Counselor, MS
11 SOUTH RD STE 120
FARMINGTON, CT 06032
Capitol Planning Region (860) 837-5759
DR. ROBERT DANIEL KEDER MD
Pediatrics (Developmental - Behavioral Pediatrics)
11 SOUTH RD STE 120
FARMINGTON, CT 06032
Capitol Planning Region (860) 837-5758
DR. SUSAN F DELLERT M.D.
Pediatrics (Neurodevelopmental Disabilities)
11 SOUTH RD STE 120
FARMINGTON, CT 06032
Capitol Planning Region (860) 837-6350
AMANDA KATE MULLANE MS, RD
Nutritionist
11 SOUTH RD STE 120
FARMINGTON, CT 06032
Capitol Planning Region (860) 334-8902

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 Mary Ann De Banate's NPI number?

The NPI number for Mary Ann De Banate is 1720321730. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Mary Ann De Banate located?

Mary Ann De Banate practices at 11 South Rd Ste 120, Farmington, CT 06032. The listed phone number is (860) 837-5758.

What is Mary Ann De Banate's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Mary Ann De Banate enrolled in Medicare?

Yes. Mary Ann De Banate is registered in the Medicare PECOS enrollment system.

What insurance does Mary Ann De Banate accept?

Health plans from Providence Health Plan list Mary Ann De Banate 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 Mary Ann De Banate was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.