Active NPI
Prabha Bansal, M.D.
- Therapeutic Radiology Physician
- Natrona Heights, PA
National Provider Identifier
1326018920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- MD035706L
- Practice address
- 1604 Burtner Rd
Natrona Heights, PA 15065-2845 - Phone
- (724) 230-3030
- Fax
- (724) 230-3001
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | MD035706L | PA | Primary |
Addresses
Primary practice location
1604 Burtner Rd
Natrona Heights, PA 15065-2845
Mailing address
2 Hot Metal St
Quantum One, N431
Pittsburgh, PA 15203-2348
Phone (412) 432-5806
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006584510009 | Medicaid | PA | |
| 0006584510010 | Medicaid | PA | |
| 0117359000 | Medicaid | WV | |
| 0006584510006 | Medicaid | PA | |
| 0006584510007 | Medicaid | PA | |
| 0006584510012 | Medicaid | PA | |
| 0006584510013 | Medicaid | PA | |
| 0006584510014 | Medicaid | PA | |
| 0006584510008 | Medicaid | PA | |
| 0479692 | Medicaid | OH | |
| 102375 | Other | PA | HIGHMARK BS |
| 0006584510011 | Medicaid | PA | |
| 11320212 | Other | PA | CAQH |
| 0006584510005 | Medicaid | PA | |
| 0006584510015 | Medicaid | PA |
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 |
|---|---|---|---|
| MD035706L | PA | MD | Therapeutic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Past | Accepting new patients | |
| University of Pittsburgh Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Radiation Oncology Physician
- Pittsburgh, PA
- NPI 1790743110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1326018920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HOT METAL ST",
"address_2": "QUANTUM ONE, N431",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152032348",
"telephone_number": "412-432-5806",
"fax_number": "412-432-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 BURTNER RD",
"city": "NATRONA HEIGHTS",
"state": "PA",
"postal_code": "150652845",
"telephone_number": "724-230-3030",
"fax_number": "724-230-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANSAL",
"first_name": "PRABHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "PA",
"license": "MD035706L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510009",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510010",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0117359000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510007",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510012",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510013",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510014",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0479692",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "102375",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510011",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11320212",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006584510015",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Natrona Heights, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.