Ali Banaie, M.D.
NPI 1386613206ActiveIndividual· Internal Medicine, Gastroenterology· La Mesa, CA
Internal Medicine, Gastroenterology (M.D.) with Providence Medical Foundation and 3 other groups, practicing in La Mesa, California. Their prescriptions cost Medicare Part D more than their services did: $304,491 for 612 claims, against $171,415 paid for services in 2024. Olympus Medical Systems Corporation was the largest of 10 companies reporting payments in 2025, $2,048 in all, mostly consulting fees. Lists Grossmont Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1386613206 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Mar 14, 2006 |
| Last updated in NPPES | Mar 21, 2023 |
| Certified by provider | Mar 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | A87308 | CA |
| Internal Medicine, Gastroenterology | 207RG0100X | 98403 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (CA); Practitioner - Gastroenterology (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 772 |
|---|---|
| Services billed | 1,730 across 57 procedure codes |
| Paid by Medicare | $171,415 |
Part D prescriptions in 2024
| Prescriptions (claims) | 612 · 917 30-day fills |
|---|---|
| Patients | 336 |
| Total drug cost | $304,491 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical groups
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
- Emergency and Acute Care Medical CorporationLa Mesa, CA · 422 clinicians
- Western Gastroenterology Care Associates IncLa Mesa, CA · 6 clinicians
- Banaie Medical CorporationLa Mesa, CA · 3 clinicians
Hospital affiliations
- Grossmont HospitalLa Mesa, CA
- John F Kennedy Memorial HospitalIndio, CA
- Providence Queen of the Valley Medical CenterNapa, CA
- Sharp Memorial HospitalSan Diego, CA
- St Mary Medical CenterLong Beach, CA
Industry payments (Open Payments)
- 2025$2,048 · 23 payments from 10 companies
- 2024$492.44 · 20 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Olympus Medical Systems Corporation | $1,500 | 1 |
| Abbvie Inc. | $244.41 | 9 |
| Medtronic, Inc. | $69.90 | 2 |
| Aimmune Therapeutics, Inc. | $53.59 | 3 |
| Pfizer Inc. | $41.07 | 2 |
What the 2025 payments were for
- Consulting Fee$1,500 · 1 payment
- Food and Beverage$548.45 · 22 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other gastroenterologists in La Mesa
- 1023192861
- 1174937346
- 1245591387
- 1356427512
- 1467411702
- 1770572109
- 1194714527
- 1720285273
- 1083403372
- 1134919962
- 1164187076
- 1508391822
All 21 gastroenterologists in La Mesa · All gastroenterologists in California