Active NPI
Girraj Kishore Bansal, MD
- Internal Medicine Physician
- Reynoldsburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 048549
- 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
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0536950 | Medicaid | OH |
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048549 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4B Bansals Brain Body & Behavioral Clinic LLC | Single Specialty | Current | Accepting new patients |
| First Step Recovery Center | Current | Accepting new patients | |
| Reynoldsburg Adult Urgent Care | Single Specialty | Past | Accepting new patients |
| Cornerstone Project, LLC | Past | 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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1689463408
Single Specialty
-
- Addiction Medicine (Family Medicine) Physician
- Reynoldsburg, OH
- NPI 1467826453
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Reynoldsburg, OH
- NPI 1700340759
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Dayton, OH
- NPI 1639609548
-
- Urgent Care Clinic/Center
- Reynoldsburg, OH
- NPI 1831104660
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.