Active NPI
Parvesh K. Bansal, M.D.
- Pulmonary Disease Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME50550
- Practice address
- 1400 Pine St
Suite a
Melbourne, FL 32901-3170 - Phone
- (321) 676-6000
- Fax
- (321) 676-7000
- NPI assigned
- Jul 7, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME50550 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME50550 | FL | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME 50550 | FL |
Addresses
Primary practice location
1400 Pine St
Suite a
Melbourne, FL 32901-3170
Mailing address
1400 Pine St
Suite a
Melbourne, FL 32901-3170
Phone (321) 676-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046576300 | Medicaid | FL | |
| 03989Y | Other | FL | INDIVIDUAL PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 Pine St
Melbourne, FL 32901-3170
Phone (321) 676-6000
Hospital & facility affiliations
- Viera Hospital
- Holmes Regional Medical Center
- Palm Bay Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME50550 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
| ME 50550 | FL | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Brevard LLC | Current | Accepting new patients | |
| Space Coast Sleep Disorders Center LLC | Current | Accepting new patients | |
| Florida Dental Sleep Disorders, P.a. | Current | Accepting new patients |
Locations
1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500
640 Classic Ct
Ste 106
Melbourne, FL 32940
Phone (321) 255-9901
298 Michigan Ave
Melbourne, FL 32901
Phone (321) 610-3907
1400 Pine St
Ste A
Melbourne, FL 32901
Phone (321) 313-5350
1400 Pine St
Melbourne, FL 32901
Phone (321) 265-3462
Interoperability endpoints
- parveshbansal@mab.medentdirect.com
- pbansal71776@epicdirect.hf.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1861400103
-
- Dentist
- Melbourne, FL
- NPI 1255178950
-
- Sleep Disorder Diagnostic Clinic/Center
- Melbourne, FL
- NPI 1023037272
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1548293442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PINE ST",
"address_2": "SUITE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013170",
"telephone_number": "321-676-6000",
"fax_number": "321-676-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PINE ST",
"address_2": "SUITE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013170",
"telephone_number": "321-676-6000",
"fax_number": "321-676-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANSAL",
"first_name": "PARVESH",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME50550",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME50550",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "FL",
"license": "ME 50550",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046576300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "03989Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.