Individual provider Active NPI

Ashok Kumar Bansal, MD

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1114908209
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301057441 Issued in MI
Practice address
26206 W 12 Mile Rd
Ste 202
Southfield, MI 48034-1754
Phone
(248) 827-7612
Fax
(248) 827-7615
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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 10

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Michigan Medical Associates, PC 4 clinicians

Practice addresses (Care Compare)

11525 E 10 Mile Rd
Warren, MI 48089-3802
Phone (586) 759-0700

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

16181 Hubbell St
Detroit, MI 48235-4026
Phone (313) 273-8764

18200 W 13 Mile Rd
Cambridge South
Beverly Hills, MI 48025-5446
Phone (248) 585-7010

22355 W 8 Mile Rd
West Oaks Senior Care
Detroit, MI 48219-1217
Phone (313) 855-6450

26715 Greenfield Rd
Southfield, MI 48076-4717
Phone (248) 557-0050

27177 Lahser Rd
Suite 205
Southfield, MI 48034-8468
Phone (248) 827-7612

3161 Hilton Rd
Ferndale, MI 48220-1038
Phone (248) 547-6227

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 551-5330

535 N Main St
Cambridge North
Clawson, MI 48317-1526
Phone (248) 435-5200

Hospital & facility affiliations

  • Beaumont Hospice Hospice, Troy, MI, CCN 231574
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Harmony Village of Clawson Nursing home, Clawson, MI, CCN 235214
  • Harmony Village of Beverly Hills Nursing home, Beverly Hills, MI, CCN 235664
  • Mission Point Nursing & Physical Rehabilitation Ce Nursing home, Detroit, MI, CCN 235454
  • Harmony Village of Warren Nursing home, Warren, MI, CCN 235259
  • Medilodge of Southfield Nursing home, Southfield, MI, CCN 235296

Merit-based Incentive Payment System (MIPS)

Final score
97.88 of 100Reported as group
Quality
81.33
Promoting interoperability
100
Improvement activities
40
Cost
78.27

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040308000091 MI Practitioner - Internal Medicine 8527956283 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301057441MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Michigan Medical Associates PC Internal Medicine CurrentSince Jan 1, 1979 Accepting new patients
Mission Point of Warren LLC Past Accepting new patients
Diversified Rehab Services, LLC Past Accepting new patients
Oakridge Manor Nursing & Rehab Center LLC Past Accepting new patients
Beverly Hills Opco LLC Past Accepting new patients
Mission Point of Beverly Hills LLC Past Accepting new patients
Southfield Opco LLC Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Mission Point of Elmwood LLC Past Accepting new patients
Mission Point of Madison Heights Past Accepting new patients
Mission Point of Clawson LLC Past Accepting new patients
Lakeland Neuro Care Center Limited PTR Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

18451 W 12 Mile Rd
Ste 200
Lathrup Village, MI 48076
Phone (248) 799-4300

26206 W 12 Mile Rd
Ste 202
Southfield, MI 48034
Phone (248) 350-3434

26715 Greenfield Rd
Southfield, MI 48076
Phone (248) 449-1655

26206 W 12 Mile Rd
Ste 200
Southfield, MI 48034
Phone (248) 327-6422

Interoperability endpoints

  • Direct secure messaging: abansal1116243@direct.hfhs.org
  • Direct secure messaging: abansal@direct.dmc.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301057441 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

26206 W 12 Mile Rd
Ste 202
Southfield, MI 48034-1754

Mailing address

18451 W 12 Mile Rd Ste 200
Lathrup Village, MI 48076-2635
Phone (248) 827-7612

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3150549MedicaidMI

Other names 1

NPPES NPI Registry
  • Dr. Ashok Kumar-Bansal Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2025.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1114908209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 W 12 MILE RD STE 200",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762635",
            "telephone_number": "248-827-7612",
            "fax_number": "248-827-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD",
            "address_2": "STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341754",
            "telephone_number": "248-827-7612",
            "fax_number": "248-827-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "ASHOK",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301057441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150549",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHOK",
            "last_name": "KUMAR-BANSAL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.