DILLON BANNIS (MD) – Obstetrics & Gynecology Physician, NPI 1124360425

DILLON BANNIS (MD) is a healthcare provider. based in Coral gables, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036.144095 (IL). The NPI Number for DILLON BANNIS (MD) is 1124360425

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DILLON BANNIS (MD)
NPI
1124360425
Phone
Not provided
Address
50 MENORES AVE
Enumeration Date
25 March 2013
Last Update Date
18 September 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
7083821498
Graduation Year
2013 (13 years ago)
PAC ID
0143596825
Group Practice PAC ID
2860894706
Professional Enrollment ID
I20171025000000
Address ID
IL606162315CH2525XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for DILLON BANNIS (MD)

  • 50 MENORES AVE

    727

    CORAL GABLES, FL 331344087

    Phone:

    Type: Mailing

  • 2525 S MICHIGAN AVE

    CHICAGO, IL 606162315

    Phone: (312) 567-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: ABIOMED ($112).

Total Amount

$175

General + Research + Ownership

Payments

3

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

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: 2017-10-25

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
I20171025000000IObstetrics/GynecologyILTBD

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 33134)

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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: 2860894706View full group profile
NameSpecialtyState
Internal MedicineMI
Internal Medicine, Sleep MedicineIL
Orthopedic SurgeryIL
A N E S T H E S I O L O G YMI
Diagnostic RadiologyIL
Diagnostic RadiologyIL
Orthopedic SurgeryIL
Hospitalist, Internal MedicineIL
Nurse PractitionerIL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

How is DILLON BANNIS (MD) identified in CMS data?
CMS-hosted NPPES data lists DILLON BANNIS (MD) with NPI 1124360425.
Is DILLON BANNIS (MD) still practicing?
DILLON BANNIS (MD) is currently listed as active in the public NPI registry.
What healthcare role does DILLON BANNIS (MD) hold?
Scheduling teams often label DILLON BANNIS (MD) under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DILLON BANNIS (MD) based?
DILLON BANNIS (MD) is tied to Coral Gables, Florida in the data we show; additional addresses may exist on the full record.
Is the information about DILLON BANNIS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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