Individual provider Active NPI

Jash Bansal, M.D.

  • Gastroenterology Physician
  • Bellingham, WA
National Provider Identifier
1225484207
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD61283798 Issued in WA
Practice address
3111 Woburn St Ste 201
Bellingham, WA 98226-6610
Phone
(360) 543-5054
Fax
(360) 733-1659
NPI assigned
May 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 MD61283798 WA Primary

Addresses

Primary practice location

3111 Woburn St Ste 201
Bellingham, WA 98226-6610

Mailing address

3111 Woburn St Ste 201
Bellingham, WA 98226-6610
Phone (360) 543-5054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220816000940 WA Practitioner - Internal MedicinePractitioner - Gastroenterology 3971898255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Virginia Tech Carilion School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Gastroenterology Professional LLCGroup PAC ID 9335052265, 13 clinicians

Practice addresses (Care Compare)

3111 Woburn St
Suite 201
Bellingham, WA 98226-6610
Phone (360) 734-1420

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Island Hospital Hospital, Anacortes, WA, CCN 500007

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy137
Upper gastrointestinal (GI) endoscopy for acid reflux97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61283798WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Gastroenterology Professional LLC Gastroenterology CurrentSince Oct 1, 2022 Accepting new patients

Locations

3111 Woburn St
Ste 201
Bellingham, WA 98226
Phone (360) 543-5054

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.

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1225484207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 WOBURN ST STE 201",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266610",
            "telephone_number": "360-543-5054",
            "fax_number": "360-733-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 WOBURN ST STE 201",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266610",
            "telephone_number": "360-543-5054",
            "fax_number": "360-733-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "JASH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD61283798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.