Individual provider Active NPI

Cheryl Dewan Bansal, M.D.

  • Specialist
  • Columbia, MD
National Provider Identifier
1174790851
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D72260 Issued in MD
Practice address
9256 Bendix Rd Ste 200a
Columbia, MD 21045-1848
Phone
(443) 542-0505
Fax
(443) 542-0506
NPI assigned
May 13, 2008
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D72260 MD Primary

Addresses

Primary practice location

9256 Bendix Rd Ste 200a
Columbia, MD 21045-1848

Mailing address

9256 Bendix Rd Ste 200a
Columbia, MD 21045-1848
Phone (443) 542-0505

Other identifiers 1

IdentifierTypeStateIssuer
451330815OtherMDNPI 1774790851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20111103000111 MD Practitioner - Dermatology 7315110566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Hahnemann University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical and Aesthetic DermatologyGroup PAC ID 7810160058, 2 clinicians

Practice addresses (Care Compare)

9256 Bendix Rd
Suite 200a
Columbia, MD 21045-1848
Phone (443) 542-0505

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
85.43
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of skin lesions2148
Removal or shaving of skin growth1-10
Skin biopsy343

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical and Aesthetic Dermatology CurrentSince Sep 21, 2011 Accepting new patients

Locations

8850 Columbia 100 Pkwy
Ste 316
Columbia, MD 21045
Phone (410) 884-1234

9256 Bendix Rd
Ste 200A
Columbia, MD 21045
Phone (443) 201-1603

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1174790851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 BENDIX RD STE 200A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451848",
            "telephone_number": "443-542-0505",
            "fax_number": "443-542-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 BENDIX RD STE 200A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451848",
            "telephone_number": "443-542-0505",
            "fax_number": "443-542-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "CHERYL",
        "middle_name": "DEWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D72260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1774790851",
            "identifier": "451330815",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.