Individual provider Active NPI

Peter J. Bangsund, M.D.

  • Gastroenterology Physician
  • Chico, CA
National Provider Identifier
1265637227
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A123857 Issued in CA
Practice address
111 Raley Blvd
Suite 100
Chico, CA 95928-8351
Phone
(530) 894-8800
Fax
(530) 894-8929
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R8077 IA
Gastroenterology Physician 207RG0100X A123857 CA Primary

Addresses

Primary practice location

111 Raley Blvd
Suite 100
Chico, CA 95928-8351

Mailing address

111 Raley Blvd
Suite 100
Chico, CA 95928-8351
Phone (530) 894-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130624000628 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7719126705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

111 Raley Blvd
Suite 100
Chico, CA 95928-8351
Phone (530) 332-3986

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy281
Upper gastrointestinal (GI) endoscopy for acid reflux208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8077IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center Gastroenterology CurrentSince Nov 1, 2013 Accepting new patients

Locations

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

111 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 332-3986

Interoperability endpoints

  • Direct secure messaging: pbangsund15163@enloedirect.org

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 1

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1265637227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RALEY BLVD",
            "address_2": "SUITE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288351",
            "telephone_number": "530-894-8800",
            "fax_number": "530-894-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RALEY BLVD",
            "address_2": "SUITE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288351",
            "telephone_number": "530-894-8800",
            "fax_number": "530-894-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGSUND",
        "first_name": "PETER",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R8077",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A123857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.