Active NPI
Amit B Bansal, M.D.
- Internal Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME155421
- Practice address
- 9400 Turkey Lake Rd
Orlando, FL 32819-8001 - Phone
- (321) 843-5500
- Fax
- (321) 843-5550
- NPI assigned
- Apr 23, 2008
- Last updated
- Apr 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT187737 | PA | |
| Internal Medicine Physician | 207R00000X | ME155421 | FL | Primary |
| Hospitalist Physician | 208M00000X | MD438226 | PA |
Addresses
Primary practice location
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Mailing address
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (321) 843-5500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abansal85737@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 354-1202
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT187737 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients |
Locations
1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500
100 N Academy Ave
Danville, PA 17822
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
dba PrimeMed Medical Grp Dunmore in collaboration w/Geisinger Clinic
- Family Medicine Physician
- Dunmore, PA
- NPI 1821405408
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Health Central
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
dba Express Care
- Urgent Care Clinic/Center
- Ocoee, FL
- NPI 1780022616
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1346415171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 TURKEY LAKE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198001",
"telephone_number": "321-843-5500",
"fax_number": "321-843-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 TURKEY LAKE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328198001",
"telephone_number": "321-843-5500",
"fax_number": "321-843-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANSAL",
"first_name": "AMIT",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-23",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT187737",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME155421",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD438226",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abansal85737@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 N Academy Ave",
"city": "Danville",
"state": "PA",
"country_code": "US",
"postal_code": "17822",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.