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KEERTHI BANSAL
NPI 1053814863
Allergy & Immunology in Sioux Falls, SD

Active since March 18, 2018PECOS EnrolledAccepts Medicare Assignment
1321 W 22ND ST, SIOUX FALLS, SD 57105(605) 404-4000 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2024, Jun 27, 2024, Jun 6, 2022 and 2 more (5 updates tracked since 2018).

About Keerthi Bansal NPPES

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

KEERTHI BANSAL (NPI 1053814863) is an individual allergy & immunology provider in Sioux Falls, South Dakota, licensed in South Dakota (15364) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053814863
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameKEERTHI BANSAL
Location Address1321 W 22ND STSioux Falls, SD 57105-1502
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 404-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 18, 2018
Last NPPES UpdateAugust 21, 20245 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1053814863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Licenses✔ Licensed in SD · 15364✔ Licensed in IL · 036.160246
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
1321 W 22ND ST, Sioux Falls, SD 57105
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-7800
Location 2600 S Paulina St Ste 403Chicago, IL 60612-3806 · Phone (312) 942-5495

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keerthi Bansal 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 ID9739429945
PECOS Enrollment IDI20240830002484
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.

Medicare Billing Reassignment

Medicare enrollment records show Keerthi Bansal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center
0.7 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

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.

HALEY ASHLYN GALLMAN
Dietitian, Registered
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4319
DEREK LEE MD
Internal Medicine
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
DR. JENNA DONELLE GASSMAN DO
Internal Medicine
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
MRS. SARA ASHLEY JARES CSW-PIP
Social Worker (Clinical)
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
ELIZABETH LUKETICH PA
Physician Assistant
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
KRISTA LYNN HUNSTAD APRN
Nurse Practitioner
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
JESSICA RENAE WAHLGREN
Internal Medicine
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 404-4000
ASHLEY NIERMAN CSW
Social Worker (Clinical)
1321 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-5350

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 Keerthi Bansal's NPI number?

The NPI number for Keerthi Bansal is 1053814863. It was assigned to this individual provider in the NPPES registry on March 18, 2018.

Where is Keerthi Bansal located?

Keerthi Bansal practices at 1321 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 404-4000.

What is Keerthi Bansal's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Keerthi Bansal enrolled in Medicare?

Yes. Keerthi 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.

Which organization bills Medicare for Keerthi Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keerthi Bansal reassigns Medicare benefits to Sanford Medical Center (Sioux Falls, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keerthi Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keerthi Bansal accept?

Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Keerthi 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 Keerthi Bansal affiliated with any hospitals?

According to CMS data, Keerthi Bansal is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Keerthi Bansal was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.