Larry William Banyash, MD
Family Medicine in South Bend, IN. Individual provider (NPI-1).
NPI number1114997145
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1114997145
- Entity type
- Individual (NPI-1)
- Name
- Larry William Banyash
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 01029868A | IN | Yes |
Practice location
2610 E Jefferson BlvdSouth Bend, IN 46615-2724
Phone 574-232-3000 · Fax 574-236-4409
Mailing address
2610 E Jefferson BlvdSouth Bend, IN 46615-2724
Phone 574-232-3000 · Fax 574-236-4409
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 167 Family Medicine Physician providers in South Bend · All 3,973 providers in South Bend
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