Organization provider

BANNER CARE LLC

General Practice Physician Family Medicine Physician Medicare enrolled

BANNER CARE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1558051961, based in Philadelphia, PA. The organization lists 2 taxonomy classifications, with General Practice Physician recorded as primary.

Getting there

The practice address on file is 129 N 11TH ST, Philadelphia, PA 19107. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

129 N 11TH ST, Philadelphia, PA 19107 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
7719348457
Enrollment ID
O20240821002128

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
Allopathic & Osteopathic Physicians General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208D00000X General Practice Physician primary
207Q00000X Family Medicine Physician

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1558051961 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 9, 2023
Last updatedSep 22, 2023
StatusActive
Practice address 129 N 11TH ST
Philadelphia, PA 19107
(215) 613-6273
Mailing address 129 N 11TH ST FL 1
Philadelphia, PA 19107
This record was updated on Sep 22, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1558051961 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 5 8 0 5 1 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 1 8 0 5 2 9 3

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1558051961?
NPI 1558051961 is the National Provider Identifier assigned to BANNER CARE LLC in Philadelphia, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice Physician cover?
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
How do I contact BANNER CARE LLC?
The phone number on file with NPPES is (215) 613-6273, last updated Sep 22, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does BANNER CARE LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1558051961 a valid number?
Yes. 1558051961 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.