MAUREEN THERESA BANTA MD
NPI 1871676122
Pediatrics in Alexandria, VA

Active since October 23, 2006PECOS Enrolled
2500 N VAN DORN ST STE 102, ALEXANDRIA, VA 22302(703) 933-0555 Get Directions Write a Review

NPPES record last updated: November 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2022, Nov 17, 2017 (2 updates tracked since 2017).

About Maureen Theresa Banta Md NPPES

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

MAUREEN THERESA BANTA MD (NPI 1871676122) is an individual pediatrics provider in Alexandria, Virginia, licensed in Virginia (0101057222) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1871676122
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMAUREEN THERESA BANTACredential: MD
Location Address2500 N VAN DORN ST STE 102Alexandria, VA 22302-1601
Mailing Address6609 32nd St NwWashington, DC 20015-2309 · (301) 922-0522
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateNovember 19, 20222 updates tracked since enumeration
NPPES CertifiedNovember 19, 2022
NPI 1871676122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in VA · 0101057222 Licensed in MD · D0092143
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2500 N VAN DORN ST STE 102, Alexandria, VA 22302

Secondary Practice Location 1

Location 14808 Moorland Ln Ste 109Bethesda, MD 20814-6131 · Phone (301) 654-9476

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maureen Theresa Banta 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22302 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 5

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

Pediatrics
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302
Clinic/Center (Primary Care)
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302
Physician Assistant
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302
Pediatrics
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302
Pediatrics
2500 N VAN DORN ST STE 102
ALEXANDRIA, VA 22302

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 Maureen Banta's NPI number?

The NPI number for Maureen Banta is 1871676122. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Maureen Banta located?

Maureen Banta practices at 2500 N Van Dorn St Ste 102, Alexandria, VA 22302. The listed phone number is (703) 933-0555.

What is Maureen Banta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Maureen Banta enrolled in Medicare?

Yes. Maureen Banta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maureen Banta was last updated on November 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.