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DR. ASHTAMI VISHWANATH BANAVALI MD
NPI 1902184518
Internal Medicine - Hematology & Oncology in Ada, OK

Active since July 31, 2011PECOS EnrolledAccepts Medicare Assignment
430 N MONTE VISTA ST, ADA, OK 74820(580) 421-1141(580) 421-1224 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ashtami Vishwanath Banavali Md NPPES

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

DR. ASHTAMI VISHWANATH BANAVALI MD (NPI 1902184518) is an individual hematology & oncology provider in Ada, Oklahoma, licensed in Oklahoma (32636) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902184518
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ASHTAMI VISHWANATH BANAVALICredential: MD
Location Address430 N MONTE VISTA STAda, OK 74820-4610
Mailing Address430 N Monte Vista StAda, OK 74820-4610 · (580) 421-1141 · Fax (580) 421-1224
Phone(580) 421-1141
Fax(580) 421-1224
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 31, 2011
Last NPPES UpdateDecember 29, 2017
✔ NPI 1902184518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in OK · 32636
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License P26486 (MD)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
430 N MONTE VISTA ST, Ada, OK 74820
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ashtami Vishwanath Banavali Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668609256
PECOS Enrollment IDI20170725001642
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 6

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.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
644 services381 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
292 services185 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
261 services82 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
101 services101 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
59 services59 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370020
Location430 North Monte VistaAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims1,064 services$0.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

VALLEY VIEW HOSPITAL
General Acute Care Hospital
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
WILLIAM J BAKER MD
Anesthesiology
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
VALLEY VIEW HOSPITAL
Rehabilitation Unit
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
DR. QUYEN THANH HA M.D.
Internal Medicine
430 N MONTE VISTA ST, VALLEY VIEW REG HOSPITAL WOUND CARE CENTER
ADA, OK 74820
Pontotoc County (580) 272-1731
DR. DONALD WESLEY DAVIES MD
Specialist
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-6040
WILLIAM JOSEPH BAKER MD PLLC
Anesthesiology
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323
LADNY YATES MD PC
Anesthesiology
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 272-0485
MRS. HELEN LOUISE TROWBRIDGE P.T.
Physical Therapist
430 N MONTE VISTA ST
ADA, OK 74820
Pontotoc County (580) 332-2323

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 Ashtami Banavali's NPI number?

The NPI number for Ashtami Banavali is 1902184518. It was assigned to this individual provider in the NPPES registry on July 31, 2011.

Where is Ashtami Banavali located?

Ashtami Banavali practices at 430 N Monte Vista St, Ada, OK 74820. The listed phone number is (580) 421-1141.

What is Ashtami Banavali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ashtami Banavali enrolled in Medicare?

Yes. Ashtami Banavali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashtami Banavali accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ashtami Banavali 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.

Is Ashtami Banavali affiliated with any hospitals?

According to CMS data, Ashtami Banavali is affiliated with Mercy Hospital Oklahoma City, Inc, Mercy Hospital Ada, Mercy Hospital Ardmore, Inc, O U Medical Center and Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Ashtami Banavali was last updated on December 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.