Meghana Bansal
Individual provider Active NPI Hematology & Oncology Physician · Little Rock, AR
NPI 1154551604 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1154551604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- E-8931 (AR)
- Practice address
- 4301 W Markham St
Little Rock, AR 72205-7101 - Phone
- (501) 410-0010
- NPI assigned
- Jul 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160630002461 | WA | Practitioner - Hematology/Oncology | 8123310612 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-8931 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
400 15th Ave SE
Puyallup, WA 98372
Phone (253) 697-1310
1003 S 5th St
Fl 4
Tacoma, WA 98405
Phone (253) 403-1677
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | E-8931 | AR | |
| Hematology & Oncology Physician | 207RH0003X | E-8931 | AR | Yes |
Addresses
Primary practice location
4301 W Markham St
Little Rock, AR 72205-7101
Mailing address
18 Winterfern CV
Little Rock, AR 72211-4470
Phone (501) 410-0010
Other providers in Little Rock, AR
- Makaya Banks
- Mary Ombatsa Banks
- Stephen Drew Bannerman
- Antonia Bannister
- Ila Bansal
- Shipra Bansal
- Shunzhong S Bao
- Baptist Health
- Baptist Health
- Baptist Health
All providers in Little Rock, AR · Hematology & Oncology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.