Organization Active NPI

Anuj Bansal MD Inc

  • Internal Medicine Physician
  • Delano, CA
National Provider Identifier
1083479463
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANUJ BANSAL MD INC
Practice address
323 S Lexington St
Delano, CA 93215-3693
Phone
(585) 489-0952
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Anuj Bansal, MDNPI 1396784500
Title
Owner
Phone
(585) 489-0952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

323 S Lexington St
Delano, CA 93215-3693

Mailing address

323 S Lexington St
Delano, CA 93215-3693
Phone (585) 489-0952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416002889 CA Part B Supplier - Clinic/Group Practice 1052750601 Receives reassigned benefits from 1 practitioner
Practice locations: Delano, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFIDDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1083479463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S LEXINGTON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153693",
            "telephone_number": "585-489-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S LEXINGTON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153693",
            "telephone_number": "585-489-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUJ BANSAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "ANUJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-489-0952",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.