DR. KAREEM BANNIS (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1134569494

DR. KAREEM BANNIS (M.D.) is a healthcare provider. based in Phoenix, Arizona. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 52640 (AZ). The NPI Number for DR. KAREEM BANNIS (M.D.) is 1134569494

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAREEM BANNIS (M.D.)
NPI
1134569494
Phone
(623) 583-3001
Address
3033 N CENTRAL AVE STE 145
Enumeration Date
1 July 2013
Last Update Date
29 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8778095092
Graduation Year
2013 (13 years ago)
PAC ID
3375835010
Group Practice PAC ID
4688588643
Professional Enrollment ID
I20170711002962
Address ID
AZ850134218PH500XXRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

3,585 INTERNAL MEDICINE in AZ

Provider Addresses for DR. KAREEM BANNIS (M.D.)

  • 3033 N CENTRAL AVE STE 145

    PHOENIX, AZ 850122808

    Phone: (623) 583-3001

    Fax: (623) 974-6721

    Type: Mailing

  • 1705 W MAIN ST

    MESA, AZ 852016920

    Phone: (480) 964-2273

    Fax: (480) 718-9477

    Type: Location

  • 500 W THOMAS RD STE 870

    PHOENIX, AZ 850134218

    Phone: (877) 809-5092

    Fax: (602) 266-8358

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: ViiV Healthcare Company ($56).

Total Amount

$223

General + Research + Ownership

Payments

11

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-07-11

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
I20170711002962IInternal MedicineAZTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85012)

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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: 4688588643View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Physician AssistantIL
Nurse PractitionerAZ
Family PracticeAZ
Family Practice, Geriatric MedicineAZ
Registered Dietitian Or Nutrition ProfessionalAZ
Nurse PractitionerIL
-AZ
Physician AssistantNY
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Where can patients find DR. KAREEM BANNIS (M.D.)'s NPI?
You can confirm DR. KAREEM BANNIS (M.D.) with NPI 1134569494; it appears in the national provider directory.
Is DR. KAREEM BANNIS (M.D.) active in the national directory?
DR. KAREEM BANNIS (M.D.)'s public NPI profile is in an active state.
What field does DR. KAREEM BANNIS (M.D.) work in?
You can think of DR. KAREEM BANNIS (M.D.) as practicing within Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KAREEM BANNIS (M.D.)?
The page summarizes Phoenix, Arizona for DR. KAREEM BANNIS (M.D.); expand the address list for detail.
What if Phoenix, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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