Individual provider Active NPI

Dhruv Kumar Bansal, M.D.

  • Anesthesiology Physician
  • Glendale, AZ
National Provider Identifier
1497734818
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
31293 Issued in AZ
Practice address
18205 N 51St Ave
Suite 109
Glendale, AZ 85308-1490
Phone
(602) 547-1400
Fax
(602) 547-1401
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 31293 AZ Primary

Addresses

Primary practice location

18205 N 51St Ave
Suite 109
Glendale, AZ 85308-1490

Mailing address

18205 N 51St Ave
Suite 109
Glendale, AZ 85308-1490
Phone (602) 547-1400

Other identifiers 2

IdentifierTypeStateIssuer
Z77630OtherAZMEDICARE ID
795388MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040317000231 AZ Practitioner - Anesthesiology 2860382629 Reassigns benefits to 2 organizations
I20260427000771 KY Practitioner - Anesthesiology 2860382629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (480) 666-7850

18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Canyon Anesthesia LLC Anesthesiology CurrentSince May 10, 2023 Accepting new patients
Yuma Regional Medical Center CurrentSince Aug 28, 2024 Accepting new patients
Asap Anesthesia, LLC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
North Desert Consultants LLC Anesthesiology CurrentSince May 23, 2023 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 101
Avondale, AZ 85392
Phone (623) 433-0110

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

6790 W Thunderbird Rd
Peoria, AZ 85381
Phone (523) 979-1717

2525 W Greenway Rd
Ste 125
Phoenix, AZ 85023
Phone (480) 640-0513

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

20940 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 253-5660

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

20950 N Tatum Blvd
Ste 170
Phoenix, AZ 85050
Phone (480) 991-6877

240 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 406-3552

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

17500 N Perimeter Dr
Scottsdale, AZ 85255
Phone (480) 535-6300

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Organizations & group practices 6

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 4

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1497734818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE",
            "address_2": "SUITE 109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081490",
            "telephone_number": "602-547-1400",
            "fax_number": "602-547-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE",
            "address_2": "SUITE 109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081490",
            "telephone_number": "602-547-1400",
            "fax_number": "602-547-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "DHRUV",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "31293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "Z77630",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795388",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.