BANYAN COMMUNITY HEALTH CENTER, INC.
NPI 1972979631
Clinic/Center - Federally Qualified Health Center (FQHC) in Lauderdale Lakes, FL
About Banyan Community Health Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANYAN COMMUNITY HEALTH CENTER, INC. (NPI 1972979631) is a healthcare organization registered as a federally qualified health center (fqhc) in Lauderdale Lakes, Florida and active in the NPI registry since August 2015. The organization lists Manuel Andres Fernandez, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Banyan Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Banyan Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 43Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Banyan Community Health Center, Inc.'s NPI number?
The NPI number for Banyan Community Health Center, Inc. is 1972979631. It was assigned to this organization in the NPPES registry on August 18, 2015.
Where is Banyan Community Health Center, Inc. located?
Banyan Community Health Center, Inc. is located at 4900 W Oakland Park Blvd Fl 3, Lauderdale Lakes, FL 33313. The listed phone number is (305) 398-6100.
What is Banyan Community Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Banyan Community Health Center, Inc. enrolled in Medicare?
Yes. Banyan Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banyan Community Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 6 Medicare specialties reassign their Medicare billing to Banyan Community Health Center, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (13), Mental Health Counselor (10) and Psychiatry (9). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Banyan Community Health Center, Inc. accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Banyan Community Health Center, Inc. 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 Banyan Community Health Center, Inc. was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# Banyan Community Health Center, Inc. · NPI 1972979631
Federally Qualified Health Center (FQHC) organization in Lauderdale Lakes, Florida. Organization record, active in the CMS NPPES registry since August 18, 2015.
## Identity
- **NPI:** 1972979631 (Entity type: Organization)
- **Enumerated:** August 18, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Manuel Fernandez, CEO
## Practice location
- **Address:** 4900 W OAKLAND PARK BLVD FL 3, Lauderdale Lakes, FL 33313-7500
- **Phone:** (305) 398-6100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Mental Health Counselor (10), Psychiatry (9); 5 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1972979631/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2026
- **Other identifiers:** Medicaid 013881915 (FL); Medicaid 013881916 (FL); Medicaid 014042500 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1972979631) · Data from the CMS NPPES public registry.