Individual provider Active NPI

Girraj Kishore Bansal, MD

  • Internal Medicine Physician
  • Reynoldsburg, OH
National Provider Identifier
1376559336
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048549 Issued in OH
Practice address
1649 Brice Road
Suite a
Reynoldsburg, OH 43068-2796
Phone
(614) 864-3434
Fax
(614) 864-8811
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 048549 OH Primary

Addresses

Primary practice location

1649 Brice Road
Suite a
Reynoldsburg, OH 43068-2796

Mailing address

1649 Brice Road
Suite a
Reynoldsburg, OH 43068-2796
Phone (614) 864-3434

Other identifiers 1

IdentifierTypeStateIssuer
0536950MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20041014000242 OH Practitioner - Internal Medicine 5193785103 Reassigns benefits to 2 organizations
Practice locations: Reynoldsburg, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Step Recovery CenterGroup PAC ID 3375823115, 10 clinicians

Practice addresses (Care Compare)

1649 Brice Rd
Suite a
Reynoldsburg, OH 43068-2796
Phone (614) 864-3434

1653 Brice Rd
Reynoldsburg, OH 43068-2799
Phone (614) 300-5878

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048549OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4B Bansals Brain Body & Behavioral Clinic LLC Single Specialty CurrentSince Apr 6, 2025 Accepting new patients
First Step Recovery Center CurrentSince May 1, 2025 Accepting new patients
Reynoldsburg Adult Urgent Care Single Specialty Past Accepting new patients
Cornerstone Project, LLC PastSince Jul 1, 2018 Accepting new patients

Locations

813 Bryden Rd
Columbus, OH 43205
Phone (614) 392-7253

241 Paddock Ct
Delaware, OH 43015
Phone (740) 362-8686

2628 Kull Rd
Lancaster, OH 43130
Phone (614) 300-1878

1271 Crescent Heights Rd
Ste 200
Marion, OH 43302
Phone (614) 808-3192

10330 Sawmill Pkwy
Ste 400
Powell, OH 43065
Phone (614) 766-4900

1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878

1649 Brice Rd
Ste A
Reynoldsburg, OH 43068
Phone (614) 812-0415

1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878

1563 Brice Rd
Reynoldsburg, OH 43068

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1376559336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 BRICE ROAD",
            "address_2": "SUITE A",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682796",
            "telephone_number": "614-864-3434",
            "fax_number": "614-864-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 BRICE ROAD",
            "address_2": "SUITE A",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682796",
            "telephone_number": "614-864-3434",
            "fax_number": "614-864-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "GIRRAJ",
        "middle_name": "KISHORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "048549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0536950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.