NPIMap

Individual provider Active NPI

Alok Bansal, M.D.

  • Ophthalmology Physician
  • Mountain View, CA
National Provider Identifier
1568646776
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A120272 Issued in CA
Practice address
2485 Hospital Dr
Suite 200
Mountain View, CA 94040-4101
Phone
(650) 988-7480
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X A120272 CA
Ophthalmology Physician 207W00000X A120272 CA Primary

Addresses

Primary practice location

2485 Hospital Dr
Suite 200
Mountain View, CA 94040-4101

Mailing address

2485 Hospital Dr
Ste 200
Mountain View, CA 94040-4123
Phone (650) 988-4197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120629000378 CA Practitioner - Ophthalmology 6709910268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2495 Hospital Dr
Suite 545
Mountain View, CA 94040-4186
Phone (650) 963-3469

2512 Samaritan CT
Suite P
San Jose, CA 95124-4002
Phone (408) 356-8818

66 Bovet Rd
Suite 225
San Mateo, CA 94402-3145
Phone (650) 340-0111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Alto Medical Foundation Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Retinovitreous Associates LTD Ophthalmology Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Weoc ER Inc Ophthalmology Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lbansal@ncrva.intellechartdirect.net
  • Direct secure messaging: abansal136783@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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 2

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1568646776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HOSPITAL DR",
            "address_2": "STE 200",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404123",
            "telephone_number": "650-988-4197",
            "fax_number": "650-988-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404101",
            "telephone_number": "650-988-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "ALOK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A120272",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A120272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.