Individual provider Active NPI

Raghav Bansal

  • Gastroenterology Physician
  • Elmhurst, NY
National Provider Identifier
1144547050
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
257584 Issued in NY
Practice address
7901 Broadway
Room No D3 22F
Elmhurst, NY 11373-1329
Phone
(718) 334-2289
NPI assigned
May 2, 2010
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 257584 NY Primary

Addresses

Primary practice location

7901 Broadway
Room No D3 22F
Elmhurst, NY 11373-1329

Mailing address

7901 Broadway
Elmhurst Hospital Center
Elmhurst, NY 11373-1329
Phone (718) 334-2289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110705000231 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2163600636 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

7134 Roosevelt Ave
Jackson Heights, NY 11372-6137
Phone (347) 738-5700

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy49
Upper gastrointestinal (GI) endoscopy for acid reflux85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Mount Sinai Hospital CurrentSince May 16, 2011 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Jun 13, 2017 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jun 13, 2017 Accepting new patients
Mount Sinai Hospital CurrentSince May 16, 2011 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2014 Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 13, 2021 Accepting new patients
Wyckoff Professional Medical Services, PC Gastroenterology CurrentSince Sep 17, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Gastroenterology CurrentSince Jan 1, 2014 Accepting new patients
Nassau Health Care Corporation CurrentSince Sep 13, 2021 Accepting new patients
Vijaypal Arya Physician PC CurrentSince Jul 1, 2016 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

374 Stockholm St
#13202
Brooklyn, NY 11237
Phone (718) 963-6793

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rbansal71852@direct.medisys.org

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 4

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": "1272758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1144547050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "address_2": "ELMHURST HOSPITAL CENTER",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-2289",
            "fax_number": "718-334-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "address_2": "ROOM NO D3 22F",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "RAGHAV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-02",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "257584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.