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DR. ANKUSH KUMAR BANSAL MD
NPI 1013913102
Internal Medicine in Loxahatchee, FL

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
14611 SOUTHERN BLVD, 1082, LOXAHATCHEE, FL 33470(703) 646-1869 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2026, Dec 8, 2022, Feb 15, 2022 and 4 more (7 updates tracked since 2019).

About Dr. Ankush Kumar Bansal Md NPPES

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

DR. ANKUSH KUMAR BANSAL MD (NPI 1013913102) is an individual internal medicine provider in Loxahatchee, Florida, licensed in Florida (ME105948) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Monroe, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013913102
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANKUSH KUMAR BANSALCredential: MD
Location Address14611 SOUTHERN BLVD, 1082Loxahatchee, FL 33470-6801
Mailing Address14611 Southern Blvd Unit 1082Loxahatchee, FL 33470-6847
Phone(703) 646-1869
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2004
Enumeration DateJune 22, 2005
Last NPPES UpdateJanuary 7, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1013913102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME105948✔ Licensed in WV · 25465✔ Licensed in TN · 51061✔ Licensed in IL · 036134319✔ Licensed in VA · 0101246131✔ Licensed in ME · 18320✔ Licensed in LA · 345535✔ Licensed in NJ · 25MA08633100✔ Licensed in WI · 50291-020✔ Licensed in PA · MD432005✔ Licensed in MO · 2011035989✔ Licensed in NY · 254229
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License DR.0055143 (CO), 18320 (ME)
14611 SOUTHERN BLVD, Loxahatchee, FL 33470
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Secondary Practice Locations 3

Location 14864 Jackson StMonroe, LA 71202-6400 · Phone (318) 330-7000
Location 2544 Pleasant StPawtucket, RI 02860-5726 · Phone (401) 725-8888
Location 3135 Dodge StProvidence, RI 02907-2210 · Phone (401) 521-9600

Other Identifiers 3

OtherMA2082235Medicare 855i
OtherMA3446096Medicare 855r
Other64836 C005Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Moda Health Plan, Inc., Oscar Health Maintenance Organization of Florida and more.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

Dr. Ankush Kumar Bansal 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 ID6305947649
PECOS Enrollment IDI20070731000160, I20100512000173, I20160427002358, I20190619001681, I20240821003137, I20250530000838, I20250602000452, I20250602001570, I20251217000318, I20251220000108
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
183 services68 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lsu Health Monroe

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190011
Location4864 Jackson StreetMonroe, LA 71202 · Ouachita County
Emergency services Birthing friendly

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%25 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers41 claims41 services$18.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers46 claims46 services$107.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ankush Bansal's NPI number?

The NPI number for Ankush Bansal is 1013913102. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Ankush Bansal located?

Ankush Bansal practices at 14611 Southern Blvd 1082, Loxahatchee, FL 33470. The listed phone number is (703) 646-1869.

What is Ankush Bansal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ankush Bansal enrolled in Medicare?

Yes. Ankush Bansal 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 Ankush Bansal accept?

Health plans from CareSource, Moda Health Plan, Inc., Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Providence Health Plan and 1 other insurer list Ankush Bansal 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 Ankush Bansal affiliated with any hospitals?

According to CMS data, Ankush Bansal is affiliated with Ochsner Lsu Health Monroe, University Of MD Shore Medical Center At Easton, Kearney Regional Medical Center, Asante Rogue Regional Medical Center and Island Hospital.

When was this NPI record last updated?

The NPPES record for Ankush Bansal was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.