MOUNIR F BANOUB (MD) – Pediatric Anesthesiology Physician, NPI 1780683656
Pediatric Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,631 ANESTHESIOLOGY in IL
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Provider Addresses for MOUNIR F BANOUB (MD)
HSHS Saint John's Hospital, 800, East Carpenter Street, Springfield, Sangamon County, Illinois, 62769, United States
SPRINGFIELD, IL 627025324
Phone: (217) 544-6464
Type: Mailing
700 Childrens Dr
Columbus, OH 432052664
Phone: (614) 722-4200
Fax: (614) 722-4203
Type: Location
2817 SPRING WATER DR
TOLEDO, OH 436171369
Phone: (419) 345-4449
Type: Mailing
2213 CHERRY ST
TOLEDO, OH 436082603
Phone: (419) 251-4715
Fax: (419) 251-6876
Type: Location
770 W GRANADA BLVD STE 101
ORMOND BEACH, FL 321745179
Phone: (386) 231-4519
Fax: (386) 368-8927
Type: Mailing
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 321175167
Phone: (386) 231-3147
Fax: (386) 231-3695
Type: Location
455 Executive Campus Dr
Westerville, OH 430828870
Phone: (614) 722-4200
Fax: (614) 722-4203
Type: Location
2213 Cherry St
Toledo, OH 436082603
Phone: (419) 251-4715
Fax: (419) 251-6876
Type: Location
405 Butterfly Gardens Dr
Columbus, OH 432154985
Phone: (614) 722-4200
Fax: (614) 722-4203
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $705.
Total Amount is formed as General ($705) + Research ($0) + Ownership ($0) = $705.
Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Becton, Dickinson and Company ($450).
Total Amount
$705
General + Research + Ownership
Payments
7
Total payment records
General Amount
$705
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2026-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20040406001475 | I | Anesthesiology | OH | TBD |
| I20170518001604 | I | Anesthesiology | GA | TBD |
| I20190214000782 | I | Anesthesiology | MI | TBD |
| I20220426001045 | I | Anesthesiology | MO | TBD |
| I20260116000754 | I | Anesthesiology | FL | 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 |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 40 | 40 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 14 | 14 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 12 | 12 | $0 |
Insurance plans in this area (ZIP 62702)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | IL | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 55 | 53 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| U R O L O G Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Thoracic Surgery | FL | |
| Nurse Practitioner | GA | |
| Internal Medicine | NY | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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