BANKS WALTER KOOKEN MD
NPI 1720614613
Internal Medicine - Pulmonary Disease in Indianapolis, IN

Active since March 23, 2020PECOS Enrolled
95.35/100
CMS Quality Rating
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202(317) 880-0000 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Mar 26, 2020 (2 updates tracked since 2020).

About Banks Walter Kooken Md NPPES

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

BANKS WALTER KOOKEN MD (NPI 1720614613) is an individual pulmonary disease provider in Indianapolis, Indiana, licensed in Indiana (01093215A) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720614613
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameBANKS WALTER KOOKENCredential: MD
Location Address720 ESKENAZI AVEIndianapolis, IN 46202-5187
Mailing Address1120 W Michigan St Ofc Cl285Indianapolis, IN 46202-5209 · (317) 278-0042
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
NPI 1720614613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IN · 01093215A
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2023-01844 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2023-01844 (NC)
720 ESKENAZI AVE, Indianapolis, IN 46202

Secondary Practice Locations 2

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1242
Location 2400 E Morehead St, Ste 202Charlotte, NC 28202-2610 · Phone (704) 355-0607

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Banks Walter Kooken Md 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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Marriage & Family Therapist
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202
Nurse Practitioner
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202
Internal Medicine
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202
Social Worker (Clinical)
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202
Registered Nurse
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202
Internal Medicine (Pulmonary Disease)
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202
Registered Nurse (Emergency)
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202
Emergency Medicine
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202

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 Banks Kooken's NPI number?

The NPI number for Banks Kooken is 1720614613. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Banks Kooken located?

Banks Kooken practices at 720 Eskenazi Ave, Indianapolis, IN 46202. The listed phone number is (317) 880-0000.

What is Banks Kooken's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Banks Kooken enrolled in Medicare?

Yes. Banks Kooken is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Banks Kooken was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.