Puneet Victor Bansal, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Missoula, MT
NPI 1417230855 · NPPES record last updated Nov 16, 2025
Key facts
- NPI
- 1417230855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 60787 (MT)
- Practice address
- 500 W Broadway St Ste 320
Missoula, MT 59802-4003 - Phone
- (406) 329-5615
- Fax
- (406) 329-5606
- NPI assigned
- Sep 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services Mt
Practice addresses (Care Compare)
500 W Broadway St
Suite 320
Missoula, MT 59802-4003
Phone (406) 329-5615
Hospital & facility affiliations
- St. Patrick Hospital
- Providence St Joseph Medical Center
- Barrett Hospital & Healthcare
- Clark Fork Valley Hospital
- Steele Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT, ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180210000178 | MT | Practitioner - Cardiovascular Disease (Cardiology) | 9830459932 | Reassigns benefits to 2 organizations |
| I20220920003794 | ME | Practitioner - Cardiovascular Disease (Cardiology) |
9830459932 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60787 | MT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Providence Health & Services Mt | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current |
Accepting new patients | |
| Providence Health & Services Mt | Cardiovascular Disease | Current |
Accepting new patients |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
121 Medical Center Dr
Ste 3100
Brunswick, ME 04011
Phone (207) 729-7939
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
Interoperability endpoints
- pbansal556128@direct.mmc.mainehealth.org
- pbansal3922814@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD25659 | ME | |
| Cardiovascular Disease Physician | 207RC0000X | 60787 | MT | Yes |
Addresses
Primary practice location
500 W Broadway St Ste 320
Missoula, MT 59802-4003
Mailing address
PO Box 31001
Pasadena, CA 91110-4110
Phone (406) 329-5615
Other practice location 1
121 Medical Center Dr Ste 3100
Brunswick, ME 04011-2672
Phone (207) 406-7310
Other providers in Missoula, MT
- Trey Banbury
- George Bandow
- Edwin Bangen
- Joey Michele Banks
- Lisandra Josephine Hannah Banks
- Alex Banuet
- Ruth Barbour
- Rebecca Barcom
- Jennifer Racicot Bardsley
- Barefoot Mental Wellness, LLC
All providers in Missoula, MT · Cardiovascular Disease Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.