Binita Baniya
NPI 1588446355 · Family Nurse Practitioner · Caledonia, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Binita Baniya is a Family Nurse Practitioner provider in Caledonia, MI (NPI 1588446355).
Provider details
- NPI number
- 1588446355
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5022163 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
141 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 38 | $89 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 32 | $73 |
| Urinalysis, Manual Test81002 | 22 | $3 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 18 | $103 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 16 | $60 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 43 | 43 |
| Prednisone | 35 | 35 |
| Cephalexin | 32 | 29 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 27 | 27 |
| Benzonatate | 23 | 22 |
| Triamcinolone Acetonide | 21 | 21 |
| Mupirocin | 21 | 21 |
| Nitrofurantoin Monohyd/M-Cryst |
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-17
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Frequently asked questions
- What is Binita Baniya's NPI number?
- Binita Baniya's National Provider Identifier (NPI) is 1588446355, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Binita Baniya's specialty?
- Binita Baniya is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Binita Baniya located?
- Binita Baniya's practice location on file with NPPES is 7340 Royal Ridge Dr Se, Caledonia, MI 49316-9039.
- What is Binita Baniya's phone number?
- The practice phone number listed in the NPPES registry for Binita Baniya is (616) 426-0202.
- Does Binita Baniya accept Medicare?
- Binita Baniya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Binita Baniya's NPI active?
- Yes — Binita Baniya's NPI (1588446355) is active in the NPPES registry as of the last update on 2025-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.