Active NPI
Vikas Bansal, MD
- Anesthesiology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 37085
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (903) 606-4500
- NPI assigned
- Aug 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24336 | SC | |
| Anesthesiology Physician | 207L00000X | 37085 | AZ | Primary |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other practice location 1
1850 N Central Ave
Suite1600
Phoenix, AZ 85004-4527
Phone (602) 262-8900
Other practice location 2
1850 N Central Ave
Suite1600
Phoenix, AZ 85004-4527
Phone (602) 262-8900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 623378ZGX7 | Other | TX | MEDICARE |
| 243365 | Medicaid | SC | |
| P01967554 | Other | TX | MEDICARE RAIL ROAD |
| 379804301 | Medicaid | TX | |
| 8HS433 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Anesthesiology
- Education
- Medical College of Georgia School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37085 | AZ | MD | Anesthesiology Physician |
| 24336 | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Anesthesiology | Current | Accepting new patients |
| Trinity Clinic | Family Medicine | Past | Accepting new patients |
Locations
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
1327 Troup Hwy
Tyler, TX 75701
Phone (903) 510-8764
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Anesthesiology
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Trinity Clinic Family Practice
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1689782559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAWSON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757012036",
"telephone_number": "903-606-4500"
}
],
"practiceLocations": [
{
"address_1": "1850 N Central Ave",
"address_2": "Suite1600",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850044527",
"country_code": "US",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 N Central Ave",
"address_2": "Suite1600",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850044527",
"country_code": "US",
"telephone_number": "602-262-8900",
"fax_number": "602-262-8890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANSAL",
"first_name": "VIKAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "24336",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "37085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "623378ZGX7",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "243365",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P01967554",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379804301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8HS433",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Jasi Marie Banks, RN
- Jasmine Banks
- Richard C Banks II, EMT-P
- Deborah Bannan, LPC-S
- Banner Counseling & Wellness PLLC
- Elinore Banschbach
- Baptist Care Facilities for Person's With Mental Disabilties (Breckenridge Village of Tyler)
- Nadia Barada, LPC-ASSOCIATE
- Angie Molina Barajaz, APRN, AGACNP-BC
- Barbara Ryno Davidson MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.