MISS KIRK G BANERIAN (M.D.) – Diagnostic Radiology Physician, NPI 1891882536

MISS KIRK G BANERIAN (M.D.) is a healthcare provider. based in Fort myers, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME76335 (FL). The NPI Number for MISS KIRK G BANERIAN (M.D.) is 1891882536

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MISS KIRK G BANERIAN (M.D.)
NPI
1891882536
Phone
(239) 936-2316
Address
3680 Broadway
Enumeration Date
6 October 2006
Last Update Date
4 October 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
4803066949
Graduation Year
1984 (42 years ago)
PAC ID
8628977295
Group Practice PAC ID
4284621525
Professional Enrollment ID
I20040102000294
Address ID
MI483315919FA30953DRXX300

Contacts

Secure Messaging
kbanerian19128@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

3,175 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for MISS KIRK G BANERIAN (M.D.)

  • 3680 Broadway

    Fort Myers, FL 339018005

    Phone: (239) 936-2316

    Fax: (239) 936-3099

    Type: Location

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 898-6509

    Fax: (248) 898-5490

    Type: Location

  • OSF Healthcare Saint Francis Hospital & Medical Group, 3401, Ludington Street, Escanaba, Delta County, Michigan, 49829, United States

    ESCANABA, MI 498291300

    Phone: (906) 786-3311

    Fax: (906) 789-0941

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2023-05-17 • Largest payer in this snapshot: Boston Scientific Corporation ($141).

Total Amount

$141

General + Research + Ownership

Payments

1

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-17

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: 2022-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20040102000294IDiagnostic RadiologyMITBD
I20101027000348IDiagnostic RadiologyFLTBD
I20221101000118IDiagnostic RadiologyPATBD
I20221101000219IDiagnostic RadiologyNJTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml4,45044$0
70553Mri scan of brain before and after contrast227208$0
70551Mri scan of brain without contrast173167$0
72148Mri scan of lower spinal canal without contrast171170$0
70450Ct scan head or brain without contrast113106$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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Provider's Procedures

MISS KIRK G BANERIAN (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views1111
DIAGNOSTIC RADIOLOGYMI74177CT scan of abdomen and pelvis with contrast5151

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: 4284621525View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCO
-PR
Diagnostic RadiologyMD
-CA
Diagnostic RadiologyVA
Physician AssistantCA
Diagnostic RadiologyWI

Reviews

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Frequently asked questions

What identifier follows MISS KIRK G BANERIAN (M.D.) across health systems?
The NPI 1891882536 uniquely identifies MISS KIRK G BANERIAN (M.D.) in U.S. healthcare data.
Should I treat MISS KIRK G BANERIAN (M.D.) as an active provider?
Patients and plans typically see MISS KIRK G BANERIAN (M.D.) as active in the national extract.
Which specialty label fits MISS KIRK G BANERIAN (M.D.)?
NPPES ties MISS KIRK G BANERIAN (M.D.) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MISS KIRK G BANERIAN (M.D.)?
MISS KIRK G BANERIAN (M.D.) shows a connection to Fort Myers, Florida in registry-derived data.
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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