Sudhir Bansal, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

7603 Issued in RI

Practice address

215 Tollgate Road
Suite 309/310
Warwick, RI 02886-4456

Phone

(401) 732-6828

Fax

(401) 223-3040

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in RI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sudhir Bansal, MD Inc.

  • Specialist
  • Warwick, RI
  • NPI 1619137791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356373633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLLGATE ROAD",
            "address_2": "SUITE 309/310",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864456",
            "telephone_number": "401-732-6828",
            "fax_number": "401-223-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLLGATE ROAD",
            "address_2": "SUITE 309/310",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864456",
            "telephone_number": "401-732-6828",
            "fax_number": "401-223-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "SUDHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "RI",
            "license": "7603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "050461074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "119020098",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0000020098001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "CPG002461001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaney Anne Bamford, PA-C
• Kari Elizabeth Bandola, MSPT
• Jamie Lynn Banes, BA,LCDP
• Weston David Banker, PA-C
• Mohammad Banki, DMD, MD
• Betsy Barbera
• Andrea Barbosa Coll, LCSW
• Stacey Lillian Barden
• Joseph Baris III, MSPT
• Brianna Barlow, LCSW

• Endocrinology, Diabetes & Metabolism Physician in Warwick, RI
• Providers in Warwick, RI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.