NPIMap

Individual provider Active NPI

Rajiv Bansal, MD

  • Gastroenterology Physician
  • New Hyde Park, NY
National Provider Identifier
1679653307
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2036551 Issued in NY
Practice address
2001 Marcus Ave E130
New Hyde Park, NY 11042-1051
Phone
(516) 437-6900
Fax
(516) 437-6904
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2036551 NY Primary

Addresses

Primary practice location

2001 Marcus Ave E130
New Hyde Park, NY 11042-1051

Mailing address

2001 Marcus Ave E130
New Hyde Park, NY 11042-1051
Phone (516) 437-6900

Other identifiers 2

IdentifierTypeStateIssuer
2036551OtherNYHIP
3C8523OtherNYHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040819001628 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7618960733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians
Rajiv Bansal MD PCGroup PAC ID 3678506706, 3 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

2001 Marcus Ave
New Hyde Park, NY 11042-2061
Phone (516) 437-6900

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy308
Upper gastrointestinal (GI) endoscopy for acid reflux374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2036551NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lighte Gastroenterology Current Accepting new patients
North Shore Endoscopic Ultrasound, PC Gastroenterology PastSince Oct 27, 2005 Accepting new patients
Digestive Health Medical Assoc. PC Gastroenterology PastSince Dec 31, 1998 Accepting new patients

Locations

2001 Marcus Ave
Ste E130
New Hyde Park, NY 11042
Phone (516) 352-2700

Organizations & group practices 4

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 10

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1679653307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE E130",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421051",
            "telephone_number": "516-437-6900",
            "fax_number": "516-437-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE E130",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421051",
            "telephone_number": "516-437-6900",
            "fax_number": "516-437-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "RAJIV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "2036551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "2036551",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C8523",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.