Individual provider Active NPI

Sanjay A. Bhansali, M.D.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1023010220
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
035006 Issued in GA
Practice address
5881 Glenridge Dr NE
Ste 230
Atlanta, GA 30328-5301
Phone
(404) 943-0170
Fax
(404) 943-0171
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 035006 GA Primary

Addresses

Primary practice location

5881 Glenridge Dr NE
Ste 230
Atlanta, GA 30328-5301

Mailing address

5881 Glenridge Dr NE
Ste 230
Atlanta, GA 30328-5301
Phone (404) 943-0170

Other identifiers 1

IdentifierTypeStateIssuer
00476583DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000659 GA Practitioner - Otolaryngology 5193897759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5881 Glenridge Dr
Suite 230
Atlanta, GA 30328-5569
Phone (404) 943-0170

5881 Glenridge Nedr
Suite 230
Atlanta, GA 30328-5569

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Consultants of Georgia Specialist CurrentSince May 9, 2001 Accepting new patients
Advanced Sleep Laboratory-Dunwoody PastSince Aug 1, 2005 Accepting new patients

Locations

5881 Glenridge Dr
Ste 230
Sandy Springs, GA 30328
Phone (404) 943-0170

Interoperability endpoints

  • Direct secure messaging: sbhansali1493@choa.gadirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1023010220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 GLENRIDGE DR NE",
            "address_2": "STE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285301",
            "telephone_number": "404-943-0170",
            "fax_number": "404-943-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 GLENRIDGE DR NE",
            "address_2": "STE 230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285301",
            "telephone_number": "404-943-0170",
            "fax_number": "404-943-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANSALI",
        "first_name": "SANJAY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "035006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00476583D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.