MR. DANIEL EDWARD BANACH (MD) – Family Medicine Physician, NPI 1114913787

MR. DANIEL EDWARD BANACH (MD) is a healthcare provider. based in Prattville, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. AL23409 (AL). The NPI Number for MR. DANIEL EDWARD BANACH (MD) is 1114913787

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. DANIEL EDWARD BANACH (MD)
NPI
1114913787
Phone
(334) 361-3090
Address
204 MEDICAL CENTER CT
Enumeration Date
20 September 2005
Last Update Date
12 August 2010

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
3345682273
Graduation Year
1997 (29 years ago)
PAC ID
7618151085
Group Practice PAC ID
9931450772
Professional Enrollment ID
I20110408000260
Address ID
AL360673620PR744XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

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Provider Addresses for MR. DANIEL EDWARD BANACH (MD)

  • Medical Center Court, Prattville, Autauga County, Alabama, 36066, United States

    PRATTVILLE, AL 360667288

    Phone: (334) 361-3090

    Fax: (334) 361-2090

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $1,449.

Total Amount is formed as General ($1,449) + Research ($0) + Ownership ($0) = $1,449.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($287).

Total Amount

$1,449

General + Research + Ownership

Payments

86

Total payment records

General Amount

$1,449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110408000260IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes471152$0
99213Established patient office or other outpatient visit, 20-29 minutes9968$0
99215Established patient office or other outpatient visit, 40-54 minutes5630$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1512$0
View full utilization report →

Insurance plans in this area (ZIP 36066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931450772View full group profile
NameSpecialtyState
Internal Medicine, Pulmonary DiseaseAL
Physician AssistantAL

Reviews

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Frequently asked questions

What is the registry number for MR. DANIEL EDWARD BANACH (MD)?
The registry entry for MR. DANIEL EDWARD BANACH (MD) shows NPI 1114913787.
Does the public listing show MR. DANIEL EDWARD BANACH (MD) as active?
MR. DANIEL EDWARD BANACH (MD)'s NPI record reflects an active status in NPPES.
What does the directory say MR. DANIEL EDWARD BANACH (MD) does?
Insurance directories may phrase it differently, but here MR. DANIEL EDWARD BANACH (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MR. DANIEL EDWARD BANACH (MD) tied to Prattville, Alabama?
If you are local to Prattville, Alabama, MR. DANIEL EDWARD BANACH (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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