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AMAR BANSAL
NPI 1093032112
Internal Medicine - Nephrology in Pittsburgh, PA

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3708 5TH AVE STE 501, MUH 9 SOUTH, PITTSBURGH, PA 15213(412) 802-3043 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2021, Mar 12, 2020 (2 updates tracked since 2020).

About Amar Bansal NPPES

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

AMAR BANSAL (NPI 1093032112) is an individual nephrology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD446615) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of New York University School Of Medicine (2010).

NPPES Registry Identity

NPI1093032112
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameAMAR BANSAL
Location Address3708 5TH AVE STE 501, MUH 9 SOUTHPittsburgh, PA 15213-3427
Mailing Address200 Lothrop St Ste C1104, Muh 9 SouthPittsburgh, PA 15213-2536
Phone(412) 802-3043
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2010
Enumeration DateApril 29, 2010
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1093032112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD446615
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3708 5TH AVE STE 501, Pittsburgh, PA 15213
Open in Google Maps ↗

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

Amar 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 ID9638490220
PECOS Enrollment IDI20150608002447
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 6

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
101 services47 patients
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.
93 services46 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.
34 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services21 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
26 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 4

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

MASSIEL PENELOPE CRUZ PERALTA MD
Student in an Organized Health Care Education/Training Program
3708 5TH AVE STE 501
PITTSBURGH, PA 15213
Allegheny County (412) 802-3043
DR. AMOGHAVARSHA PULI M.D.
Internal Medicine
3708 5TH AVE STE 501
PITTSBURGH, PA 15213
Allegheny County (125) 864-3550
RODERICK JASON TAN M.D., PH.D.
Internal Medicine (Nephrology)
3708 5TH AVE STE 501
PITTSBURGH, PA 15213
Allegheny County (412) 692-4700
DR. JOSHUA ROSENTHAL MD
Internal Medicine (Nephrology)
3708 5TH AVE STE 501
PITTSBURGH, PA 15213
Allegheny County (412) 802-3043

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 Amar Bansal's NPI number?

The NPI number for Amar Bansal is 1093032112. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Amar Bansal located?

Amar Bansal practices at 3708 5th Ave Ste 501 Muh 9 South, Pittsburgh, PA 15213. The listed phone number is (412) 802-3043.

What is Amar Bansal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Amar Bansal enrolled in Medicare?

Yes. Amar 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.

Is Amar Bansal affiliated with any hospitals?

According to CMS data, Amar Bansal is affiliated with Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Amar Bansal was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.