Active NPI
Narendra K Bansal, MD
- Urology Physician
- Lima, OH
National Provider Identifier
1194701557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35038894
- Practice address
- 770 West High Street
Suite 350
Lima, OH 45801-5901 - Phone
- (419) 228-8950
- Fax
- (419) 224-7904
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35038894 | OH | Primary |
Addresses
Primary practice location
770 West High Street
Suite 350
Lima, OH 45801-5901
Mailing address
PO Box 636930
Cincinnati, OH 45263-0001
Phone (513) 981-5015
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000596292 | Other | OH | ANTHEM |
| 1456899 | Other | OH | CIGNA |
| 4466016 | Other | OH | AETNA |
| 0365368 | Medicaid | OH | |
| 06145 | Other | OH | PARAMOUNT ADVANTAGE MEDICAID |
| 262788491033 | Other | OH | CARESOURCE MEDICAID |
| 739790 | Other | OH | BUCKEYE MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35038894 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1194701557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636930",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001",
"telephone_number": "513-981-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 WEST HIGH STREET",
"address_2": "SUITE 350",
"city": "LIMA",
"state": "OH",
"postal_code": "458015901",
"telephone_number": "419-228-8950",
"fax_number": "419-224-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANSAL",
"first_name": "NARENDRA",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35038894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000596292",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1456899",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4466016",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0365368",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT ADVANTAGE MEDICAID",
"identifier": "06145",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE MEDICAID",
"identifier": "262788491033",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE MEDICAID",
"identifier": "739790",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.