Pankaj Bansal, M.D.
Individual provider Active NPI Rheumatology Physician · Eau Claire, WI
NPI 1508181579 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1508181579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 62236 (WI)
- Practice address
- 1400 Bellinger St
Eau Claire, WI 54703-5222 - Phone
- (715) 838-6073
- NPI assigned
- Apr 2, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 47
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Mayo Clinic Health System-Northwest Wisconsin Region Inc
Florida Hospital Medical Group Inc
Mayo Clinic Health System-Southwest Wisconsin Region Inc
Central Florida Rheumatology Consultants LLC
Texas Primary Care Clinic PLLC
Practice addresses (Care Compare)
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
2501 N Orange Ave
Suite 586
Orlando, FL 32804-4603
Phone (407) 303-6920
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
700 W Ave S
La Crosse, WI 54601-4783
Phone (608) 785-0940
759 Harley Strickland Blvd
Orange City, FL 32763-7954
7932 W Sand Lake Rd
Suite 200
Orlando, FL 32819-7299
Phone (407) 355-7759
901 E Oak St
Suite Bandc
Kissimmee, FL 34744-5837
Phone (386) 561-9967
915 Harley Strickland Blvd
Orange City, FL 32763-7967
Phone (386) 561-9967
9191 Kyser Way
Suite 205
Frisco, TX 75033-2783
Phone (972) 643-8727
Hospital & facility affiliations
- Mayo Clinic Health System Eau Claire Hospital
- Mayo Clinic Health System-Red Cedar Inc
- Adventhealth Orlando
- Mayo Clinic Health System Chippewa Valley
- Mayo Clinic Health System-Franciscan Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WI, FL, TX
- 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 |
|---|---|---|---|---|
| I20140606001385 | WI | Practitioner - Rheumatology | 5597989830 | Reassigns benefits to 2 organizations |
| I20221010003223 | FL | Practitioner - Rheumatology | 5597989830 | Reassigns benefits to 3 organizations |
| I20240321000449 | TX | Practitioner - Internal Medicine |
5597989830 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62236 | WI | MD | Rheumatology Physician |
Practice roles (10 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Rheumatology Consultants LLC | Rheumatology | Current |
Accepting new patients |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Florida Hospital Medical Group Inc | Current |
Accepting new patients | |
| Texas Primary Care Clinic, PLLC | Internal Medicine | Current |
Accepting new patients |
| GK Bansal Rheumatology PLLC | Internal Medicine | Current |
Accepting new patients |
| Florida Hospital Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current |
Accepting new patients | |
| Physician Surgical Network Inc. | Rheumatology | Current |
Accepting new patients |
Locations
901 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 943-8922
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
759 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300
915 Harley Strickland Blvd
Orange City, FL 32763
Phone (386) 456-0300
7350 Sandlake Commons Blvd
Ste 1130
Orlando, FL 32819
Phone (407) 593-3555
7932 W Sand Lake Rd
Ste 200
Orlando, FL 32819
Phone (407) 355-7759
2501 N Orange Ave
Ste 402
Orlando, FL 32804
Phone (407) 303-3638
12386 State Road 535
Orlando, FL 32836
Phone (407) 801-3295
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
9191 Kyser Way
Ste 205
Frisco, TX 75033
Phone (972) 643-8727
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311
700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156
2409 Stout Rd
Menomonie, WI 54751
Phone (715) 231-3937
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | U8291 | TX | |
| Rheumatology Physician | 207RR0500X | U8291 | TX | |
| Rheumatology Physician | 207RR0500X | ME154368 | FL | |
| Rheumatology Physician | 207RR0500X | 62236 | WI | Yes |
Addresses
Primary practice location
1400 Bellinger St
Eau Claire, WI 54703-5222
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
Other practice location 1
2501 N Orange Ave Ste 402
Orlando, FL 32804-4674
Phone (407) 894-8696
Other practice location 2
777 Main St Ste 500
Frisco, TX 75036
Phone (972) 636-5826
Other practice location 3
9191 Kyser Way Ste 205
Frisco, TX 75033-2783
Phone (972) 636-5826
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbansal23287@ehrdirect.mayoclinicmsg.org |
Other providers in Eau Claire, WI
- Gary S Balwierz
- Sarah Ione Bangel
- Katrina Lynn Bangen
- Aveen Banich
- Jeffery Cordell Banks
- Jennifer Suzanne Bantz
- David J Bardsley
- Jessica Barnard
- Allana Catherine Barnes
- Julie L. Barneson
All providers in Eau Claire, WI · Rheumatology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. 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.