Individual provider Active NPI

Arvind K Bansal, MD

  • Pulmonary Disease Physician
  • Lexington, KY
National Provider Identifier
1962523381
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10454 Issued in ND
Practice address
166 Pasadena Dr Ste 100
Lexington, KY 40503-2974
Phone
(859) 278-0319
Fax
(859) 277-9699
NPI assigned
Apr 3, 2007
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10454 ND
Internal Medicine Physician 207R00000X 054461 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 054461 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 52641 KY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 054461 GA
Pulmonary Disease Physician 207RP1001X 054461 GA
Pulmonary Disease Physician 207RP1001X 10454 ND Primary

Addresses

Primary practice location

166 Pasadena Dr Ste 100
Lexington, KY 40503-2974

Mailing address

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

Other practice location 1

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abansal97352@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070509000367 ND Practitioner - Pulmonary DiseasePractitioner - Geriatric MedicinePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 6709982648 Reassigns benefits to 1 organization
I20190516002147 KY Practitioner - Critical Care (Intensivists) 6709982648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

166 Pasadena Dr
Suite 100
Lexington, KY 40503-2974
Phone (859) 278-0319

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52641KYMDCritical Care Medicine (Internal Medicine) Physician
054461GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
Altru Health System CurrentSince Jul 1, 2007 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 1, 2019 Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients
Altru Health System Past Accepting new patients

Locations

166 Pasadena Dr
Ste 100
Lexington, KY 40503
Phone (859) 278-0319

2400 Harrodsburg Rd
Lexington, KY 40503
Phone (859) 278-0319

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500

301 Mountain St E
Ste A
Cavalier, ND 58220
Phone (701) 265-4196

1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

4350 S Washington St
Ste 112
Grand Forks, ND 58201
Phone (701) 293-9829

4401 S 11th St
Ste 1000
Grand Forks, ND 58201
Phone (701) 732-7620

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1962523381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-1891",
            "fax_number": "701-780-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PASADENA DR STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032974",
            "telephone_number": "859-278-0319",
            "fax_number": "859-277-9699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "58201",
            "country_code": "US",
            "telephone_number": "701-780-2300",
            "fax_number": "701-780-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "ARVIND",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "10454",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054461",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "054461",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "52641",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "054461",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "054461",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ND",
            "license": "10454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abansal97352@bhkydirect.com",
            "affiliation": "N",
            "address_1": "166 Pasadena Dr Ste 100",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.