IndividualActive
Kenneth Banasiak, MD
NPI 1205818929 · Pediatric Critical Care Medicine Physician · Hartford, CT
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
Detailed profile(95/100 index)
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
282 Washington St
Hartford, CT 06106-3322
Phone: (860) 545-9850
Fax: (860) 545-8812
Street-level locationGet directions
Mailing address
301 US Route 1
Scarborough, ME 04074-7609
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.