BANYAN COMMUNITY HEALTH CENTER, INC. – Federally Qualified Health Center (FQHC), NPI 1922349737

BANYAN COMMUNITY HEALTH CENTER, INC. is a healthcare provider. based in Miami, Florida. specializing in Federally Qualified Health Center (FQHC). The NPI Number for BANYAN COMMUNITY HEALTH CENTER, INC. is 1922349737

Main info

Organization
Name
BANYAN COMMUNITY HEALTH CENTER, INC.
NPI
1922349737
Phone
(305) 398-6100
Address
6100 BLUE LAGOON DR
Authorized Official
MANUEL ANDRES FERNANDEZ CEO
Enumeration Date
5 March 2013
Last Update Date
15 April 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for BANYAN COMMUNITY HEALTH CENTER, INC.

  • 6100 BLUE LAGOON DR

    SUITE 400

    MIAMI, FL 331262079

    Phone: (305) 398-6100

    Fax: (305) 398-6099

    Type: Mailing

  • 2300 NW 89TH PL FL 3

    DORAL, FL 331722431

    Phone: (305) 398-6100

    Type: Mailing

  • 3850 W FLAGLER ST

    CORAL GABLES, FL 331341604

    Phone: (305) 774-3400

    Fax: (305) 643-7807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (617 days ago).

Enrollment records

1

Earliest due date

2024-09-30

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
O20150409000047OFederally Qualified Health Center (Fqhc)FL2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 33126)

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Reviews

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Frequently asked questions

Does BANYAN COMMUNITY HEALTH CENTER, INC. have a public NPI I can cite?
Public records show BANYAN COMMUNITY HEALTH CENTER, INC. under NPI 1922349737.
Should I treat BANYAN COMMUNITY HEALTH CENTER, INC. as an active provider?
Patients and plans typically see BANYAN COMMUNITY HEALTH CENTER, INC. as active in the national extract.
How should patients interpret BANYAN COMMUNITY HEALTH CENTER, INC.'s specialty?
The extract shows Federally Qualified Health Center (FQHC) for BANYAN COMMUNITY HEALTH CENTER, INC.. Clinical services aligned with this taxonomy classification.
Is BANYAN COMMUNITY HEALTH CENTER, INC. tied to Miami, Florida?
If you are local to Miami, Florida, BANYAN COMMUNITY HEALTH CENTER, INC. may be relevant to your search.
Can I export BANYAN COMMUNITY HEALTH CENTER, INC.'s record?
You can download the official NPPES record; we summarize key fields for readability.

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