Individual provider Active NPI

Sonia Bansal, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1467682617
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N7775 Issued in TX
Practice address
1879 Madison Ave
New York, NY 10035-2709
Phone
(908) 420-7768
NPI assigned
Jul 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 254034-1 NY
Emergency Medicine Physician 207P00000X 25MA08622300 NJ
Emergency Medicine Physician 207P00000X N7775 TX Primary

Addresses

Primary practice location

1879 Madison Ave
New York, NY 10035-2709

Mailing address

93 Hidden Lake Dr
North Brunswick, NJ 08902-1212
Phone (908) 420-7768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120927000148 TX Practitioner - Emergency Medicine 5395880538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Hospital Based Physician GroupGroup PAC ID 4385075480, 272 clinicians
Round Table Physicians Group PLLCGroup PAC ID 0547682460, 80 clinicians

Practice addresses (Care Compare)

23900 Katy Fwy
Katy, TX 77494-1323
Phone (713) 338-6565

8910 Hwy 6 S
Houston, TX 77083-6339
Phone (832) 699-3777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
254034-1NYMDEmergency Medicine Physician
N7775TXMDEmergency Medicine Physician
254034NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jun 15, 2017 Accepting new patients
Round Table Physicians Group PLLC CurrentSince Mar 1, 2020 Accepting new patients
Round Table Specialist Group, PLLC Emergency Medicine Current Accepting new patients
Madison Avenue Emergency Medicine PC Emergency Medicine Past Accepting new patients
Hudson Valley Emergency Medicine PLLC Past Accepting new patients
Emergency Medicine Physicians of Suffolk County, PLLC Emergency Medicine Past Accepting new patients

Locations (25 of 31)

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

1512 Texas Ave S
Ste 500
College Station, TX 77840
Phone (979) 213-5520

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

5003 FM 1960 Rd W
Houston, TX 77069
Phone (281) 213-5444

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

1007 Westheimer Rd
Houston, TX 77006
Phone (281) 479-3293

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

5413 S Rice Ave
Houston, TX 77081
Phone (713) 527-5000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

8910 Highway 6 S
Houston, TX 77083
Phone (281) 258-4351

5835 Highway 6 N
Houston, TX 77084
Phone (281) 861-0937

1431 Studemont St
Ste C1
Houston, TX 77007

5324 Atascocita Rd
Humble, TX 77346
Phone (832) 644-3400

23900 Katy Fwy
Katy, TX 77494
Phone (281) 644-7000

22430 Grand Corner Dr
Ste C1
Katy, TX 77494
Phone (281) 371-1818

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

2555 Gulf Fwy S
#C1100
League City, TX 77573

1596 W Main St
Lewisville, TX 75067
Phone (469) 312-3660

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

5409 W Wadley Ave
Midland, TX 79707
Phone (432) 699-2601

2731 N Grandview Ave
Odessa, TX 79762
Phone (432) 366-0945

3055 NE Loop 286
Paris, TX 75460
Phone (903) 737-1111

Organizations & group practices 7

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 7

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1467682617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 HIDDEN LAKE DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021212",
            "telephone_number": "908-420-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352709",
            "telephone_number": "908-420-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "254034-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA08622300",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N7775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.