MUSSA BANISADRE (MD) – Hematology & Oncology Physician, NPI 1043264690
Hematology & Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
297 HEMATOLOGY in CA
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Provider Addresses for MUSSA BANISADRE (MD)
1325, Melrose Avenue, Modesto, Stanislaus County, California, 95350, United States
SUITE A
MODESTO, CA 953505508
Phone: (209) 524-7000
Fax: (209) 527-5601
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 179 Open Payments records for all available years, with a total value of $4,942.
Total Amount is formed as General ($4,942) + Research ($0) + Ownership ($0) = $4,942.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($883).
Total Amount
$4,942
General + Research + Ownership
Payments
179
Total payment records
General Amount
$4,942
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $883 |
| AstraZeneca Pharmaceuticals LP | $417 |
| Incyte Corporation | $321 |
| PFIZER INC. | $295 |
| ABBVIE INC. | $222 |
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: 2008-01-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080122000771 | I | Hematology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,874 | 28 | $0 |
| J2469 | Injection, palonosetron hcl, 25 mcg | 1,020 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 542 | 236 | $0 |
| 96367 | Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 248 | 31 | $0 |
| 96375 | Injection of additional new drug or substance into vein | 215 | 26 | $0 |
Insurance plans in this area (ZIP 95350)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | CA | |
| Medical Oncology | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | WV | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| - | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| Hematology/Oncology, Internal Medicine | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA |
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