NPIMap

Individual provider Active NPI

Ishita Bansal

  • Nephrology Physician
  • Mineola, NY
National Provider Identifier
1265789846
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
284014 Issued in NY
Practice address
200 Old Country Rd Ste 135
Mineola, NY 11501-4237
Phone
(516) 663-2169
NPI assigned
Aug 13, 2012
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 284014 NY Primary
Internal Medicine Physician 207R00000X 284014 NY

Addresses

Primary practice location

200 Old Country Rd Ste 135
Mineola, NY 11501-4237

Mailing address

7901 Broadway
C7 -10
Elmhurst, NY 11373-1329

Other practice location 1

7901 Broadway
C7 -10
Elmhurst, NY 11373
Phone (718) 334-4000 ext. 3930

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ibansal491098@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180413001886 NY Practitioner - NephrologyPractitioner - Internal Medicine 5597028043 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

200 Old Country Rd
Mineola, NY 11501-4237

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

297 Mineola Blvd
Mineola, NY 11501-1502
Phone (516) 294-1377

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
New York University Internal Medicine CurrentSince Feb 17, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Nephrology CurrentSince Sep 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine Current Accepting new patients
New York University Internal Medicine CurrentSince Feb 17, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 16, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Feb 16, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

200 Old Country Rd
Ste 135
Mineola, NY 11501
Phone (516) 663-2169

200 Old Country Rd
Ste 370
Mineola, NY 11501
Phone (516) 541-0300

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: irajnish14085@nychhc.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 10

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": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1265789846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "address_2": "C7 -10",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD STE 135",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014237",
            "telephone_number": "516-663-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Broadway",
            "address_2": "C7 -10",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "11373",
            "country_code": "US",
            "telephone_number": "718-334-4000 x3930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "ISHITA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "284014",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "284014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ibansal491098@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "200 Old Country Rd Ste 135",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115014237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.