Active NPI
Dhruv Kumar Bansal, M.D.
- Anesthesiology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 31293
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z77630 | Other | AZ | MEDICARE ID |
| 795388 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCProfessional Anesthesia Services of Kentucky PLLCYuma Regional Medical Center
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
- Baptist Health Louisville
- City of Hope Cancer Center Phoenix
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Canyon Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Asap Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| North Desert Consultants LLC | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Scottsdale, AZ
- NPI 1356822902
Anesthesiology, AZ
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
KY
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.