Active NPI
GK Bansal Rheumatology PLLC
- Internal Medicine Physician
- Orlando, FL
National Provider Identifier
1275396608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GK BANSAL RHEUMATOLOGY PLLC
- Practice address
- 7932 W Sand Lake Rd Ste 200
Orlando, FL 32819-7299 - Phone
- (407) 355-7759
- Fax
- (407) 355-4987
- NPI assigned
- Jan 30, 2024
- Last updated
- Jan 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Farhan Shah
- Title
- Manager
- Phone
- (239) 444-8185
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Rheumatology Physician | 207RR0500X |
Addresses
Primary practice location
7932 W Sand Lake Rd Ste 200
Orlando, FL 32819-7299
Mailing address
12386 State Road 535
Orlando, FL 32836-6701
Phone (407) 355-7759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1275396608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12386 STATE ROAD 535",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328366701",
"telephone_number": "407-355-7759",
"fax_number": "407-355-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7932 W SAND LAKE RD STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197299",
"telephone_number": "407-355-7759",
"fax_number": "407-355-4987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GK BANSAL RHEUMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "FARHAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "239-444-8185",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.