ANITA PRAFUL BHANSALI MD
NPI 1013228089
Neurological Surgery in Fort Worth, TX

Active since June 24, 2010PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
800 5TH AVE STE 500, FORT WORTH, TX 76104(817) 250-4280(817) 250-4281 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 29, 2021, Mar 6, 2019, Jul 21, 2017 (3 updates tracked since 2017).

About Anita Praful Bhansali Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANITA PRAFUL BHANSALI MD (NPI 1013228089) is an individual neurological surgery provider in Fort Worth, Texas, licensed in Texas (S0631) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of University Of Washington School Of Medicine (2010).

NPPES Registry Identity

NPI1013228089
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameANITA PRAFUL BHANSALICredential: MD
Location Address800 5TH AVE STE 500Fort Worth, TX 76104-7304
Mailing Address800 5th Ave Ste 500Fort Worth, TX 76104-7304 · (817) 250-4280 · Fax (817) 250-4281
Fax(817) 250-4281
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2010
Enumeration DateJune 24, 2010
Last NPPES UpdateSeptember 29, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
NPI 1013228089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in TX · S0631 Licensed in WA · MD60747516 Licensed in IL · 125058498
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

800 5TH AVE STE 500, Fort Worth, TX 76104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anita Praful Bhansali Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42513004
PECOS Enrollment IDI20180530002778
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Physician Assistant (Surgical)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Psychiatry & Neurology (Neurocritical Care)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
800 5TH AVE STE 500
FORT WORTH, TX 76104
Neurological Surgery
800 5TH AVE STE 500
FORT WORTH, TX 76104
Neurological Surgery
800 5TH AVE STE 500
FORT WORTH, TX 76104
Nurse Practitioner (Adult Health)
800 5TH AVE STE 500
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anita Bhansali's NPI number?

The NPI number for Anita Bhansali is 1013228089. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Anita Bhansali located?

Anita Bhansali practices at 800 5th Ave Ste 500, Fort Worth, TX 76104. The listed phone number is (817) 250-4280.

What is Anita Bhansali's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Anita Bhansali enrolled in Medicare?

Yes. Anita Bhansali is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anita Bhansali accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Anita Bhansali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anita Bhansali affiliated with any hospitals?

According to CMS data, Anita Bhansali is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Anita Bhansali was last updated on September 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.