VICTORIA ROSE BANACZUK MS, RD, LDN
NPI 1831066828
Dietitian, Registered in Providence, RI

Q: What is Victoria Banaczuk's NPI number?

The NPI number for Victoria Banaczuk is 1831066828. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Q: What is Victoria Banaczuk's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Banaczuk was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 22, 2025

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-5603 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Victoria Rose Banaczuk Ms, Rd, Ldn NPPES

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

VICTORIA ROSE BANACZUK MS, RD, LDN (NPI 1831066828) is an individual dietitian, registered in Providence, Rhode Island, licensed in Rhode Island (LDN01611) and active in the NPI registry since October 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1831066828

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameVICTORIA ROSE BANACZUKCredential: MS, RD, LDN

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 444-5603

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 22, 2025

Last NPPES UpdateDecember 1, 2025

NPPES CertifiedDecember 1, 2025

✔ NPI 1831066828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in RI · LDN01611

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

593 EDDY ST, Providence, RI 02903

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Rose Banaczuk Ms, Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103310735

PECOS Enrollment IDI20251211001027

Medicare Billing Reassignment

Medicare enrollment records show Victoria Banaczuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rhode Island Hospital

Same address

Neurology

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
12 clinicians in this Medicare group

NPI 1902902364 (401) 444-5603

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

FANNY HUANG MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4741

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 Victoria Banaczuk's NPI number?

The NPI number for Victoria Banaczuk is 1831066828. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Victoria Banaczuk located?

Victoria Banaczuk practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-5603.

What is Victoria Banaczuk's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Victoria Banaczuk enrolled in Medicare?

Yes. Victoria Banaczuk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victoria Banaczuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Banaczuk reassigns Medicare benefits to Rhode Island Hospital (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victoria Banaczuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Banaczuk was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.