Kenneth Banasiak, MD
NPI 1205818929 · Pediatric Critical Care Medicine Physician · Hartford, CT
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Banasiak, MD is a Pediatric Critical Care Medicine Physician provider in Hartford, CT (NPI 1205818929).
Provider details
- NPI number
- 1205818929
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 035451 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 22 Bramhall StPediatric Intensive CarePortland, ME 04102Phone: (207) 662-2179Fax: (207) 662-6326
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2022-09-09
- Certified
- 2022-09-09
Frequently asked questions
- What is Kenneth Banasiak's NPI number?
- Kenneth Banasiak's National Provider Identifier (NPI) is 1205818929, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Banasiak's specialty?
- Kenneth Banasiak is listed in the NPPES registry with a primary specialty of Pediatric Critical Care Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Banasiak located?
- Kenneth Banasiak's practice location on file with NPPES is 282 Washington St, Hartford, CT 06106-3322.
- What is Kenneth Banasiak's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Banasiak is (860) 545-9850.
- Does Kenneth Banasiak accept Medicare?
- Kenneth Banasiak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Banasiak's NPI active?
- Yes — Kenneth Banasiak's NPI (1205818929) is active in the NPPES registry as of the last update on 2022-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.