Active NPI
Vibhav Krishan Bansal, MD
- Vascular Neurology Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 036136643
- Practice address
- 600 Mary St
Evansville, IN 47710-1674 - Phone
- (812) 450-7338
- Fax
- (812) 450-2193
- NPI assigned
- Sep 4, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 036.136643 | IL | |
| Vascular Neurology Physician | 2084V0102X | 01070439A | IN | |
| Vascular Neurology Physician | 2084V0102X | 036136643 | IL | Primary |
| Neurology Physician | 2084N0400X | 01070439A | IN |
Addresses
Primary practice location
600 Mary St
Evansville, IN 47710-1674
Mailing address
PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-7338
Other practice location 1
3401 N Perryville Rd Ste 203
Rockford, IL 61114-8011
Phone (815) 971-2000
Other practice location 2
1000 Mineral Point Ave
Janesville, WI 53548-2982
Phone (608) 756-6868
Other practice location 3
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
Other practice location 4
901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431
Other practice location 5
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other practice location 6
4400 W 95th St Ste 403
Oak Lawn, IL 60453-2661
Phone (708) 684-4029
Other practice location 7
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730337569 | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vbansal387468@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 N Perryville Rd
Rockford, IL 61114-8011
Phone (815) 971-2000
Hospital & facility affiliations
- Javon Bea Hospital
- Mercy Health System Corp
- Mercy Walworth Hospital & Medical Center
- CGH Medical Center
- FHN Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ganesha Institute of Neurology and Psychiatry SC | Neurology | Current | Accepting new patients |
| Thrive Healthcare Clinic LLC | Vascular Neurology | Current | Accepting new patients |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Ganesha Institute of Neurology and Psychiatry SC | Neurology | Current | Accepting new patients |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Thrive Healthcare | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Paul N Deweese MD PLC | Past | Accepting new patients |
Locations
524 W Stephenson St
Freeport, IL 61032
Phone (815) 550-6689
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
1850 W Winchester Rd
Ste 115
Libertyville, IL 60048
Phone (847) 816-6335
1860 W Winchester Rd
Ste 106
Libertyville, IL 60048
Phone (847) 599-0715
6653 Weaver Rd
Ste 106
Rockford, IL 61114
Phone (312) 825-5747
4600 Green Bay Rd
Kenosha, WI 53144
Phone (847) 816-6335
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
Interoperability endpoints
- vbansal51636@direct.mhemail.org
Organizations & group practices 13
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
- Rockford, IL
- NPI 1043242886
-
- Neurology Physician
- Libertyville, IL
- NPI 1629478599
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Vascular Neurology Physician
- Freeport, IL
- NPI 1154174761
-
- Family Medicine Physician
- Rockford, IL
- NPI 1134979438
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Neurology Physician
- Kenosha, WI
- NPI 1619731320
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Clinic/Center
- Haslett, MI
- NPI 1942499553
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1730337569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3407",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477333407",
"telephone_number": "812-450-7338",
"fax_number": "812-450-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MARY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101674",
"telephone_number": "812-450-7338",
"fax_number": "812-450-2193"
}
],
"practiceLocations": [
{
"address_1": "3401 N Perryville Rd Ste 203",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611148011",
"country_code": "US",
"telephone_number": "815-971-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Mineral Point Ave",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535482982",
"country_code": "US",
"telephone_number": "608-756-6868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 S Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600148190",
"country_code": "US",
"telephone_number": "779-220-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-943-5431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4400 W 95th St Ste 403",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532661",
"country_code": "US",
"telephone_number": "708-684-4029",
"fax_number": "708-684-4033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANSAL",
"first_name": "VIBHAV",
"middle_name": "KRISHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-04",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IL",
"license": "036.136643",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IN",
"license": "01070439A",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IL",
"license": "036136643",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01070439A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730337569",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vbansal387468@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4400 W 95th St Ste 403",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532661",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4400 W 95th St Ste 403",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.