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DR. NIDHI BANSAL MD
NPI 1104144146
Internal Medicine - Endocrinology, Diabetes & Metabolism in Scranton, PA

Active since May 14, 2010
3 W OLIVE ST, SCRANTON, PA 18508(570) 207-6300(570) 207-6290 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nidhi Bansal Md NPPES

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

DR. NIDHI BANSAL MD (NPI 1104144146) is an individual endocrinology, diabetes & metabolism provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD473331) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1104144146
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. NIDHI BANSALCredential: MD
Location Address3 W OLIVE STScranton, PA 18508-2572
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 207-6300
Fax(570) 207-6290
Sole ProprietorNo
Enumeration DateMay 14, 2010
Last NPPES UpdateApril 12, 2021
NPPES CertifiedApril 12, 2021
✔ NPI 1104144146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in PA · MD473331✔ Licensed in NY · 278315
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 278315 (NY)
3 W OLIVE ST, Scranton, PA 18508
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nidhi Bansal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
115 mi
Internal Medicine
750 E ADAMS ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 434 clinicians in this Medicare group
NPI 1063468239 (315) 464-4505

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

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.

DR. JAN GOLDEN D.P.M.
Podiatrist (Foot & Ankle Surgery)
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 961-3823
ALICIA KATHLEEN CRINELLA PA-C
Surgery (Vascular Surgery)
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 961-3823
KELLY BABINSKI CRNP
Nurse Practitioner
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 558-2140
SARA CURMACI PT
Physical Therapist
3 W OLIVE ST, SUITE 118
SCRANTON, PA 18508
Lackawanna County (570) 961-8786
MS. JULIANNE A MARIANELLI CRNP
Nurse Practitioner
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 207-6299
DR. BRIAN MICHAEL CEBULKO PHARMD
Pharmacist
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 207-5970
CATHERINE B MCGRATH AU.D.
Audiologist
3 W OLIVE ST, SUITE 106
SCRANTON, PA 18508
Lackawanna County (570) 344-0744
JAIME A RUIZ RN
Registered Nurse
3 W OLIVE ST
SCRANTON, PA 18508
Lackawanna County (570) 575-7864

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 Nidhi Bansal's NPI number?

The NPI number for Nidhi Bansal is 1104144146. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is Nidhi Bansal located?

Nidhi Bansal practices at 3 W Olive St, Scranton, PA 18508. The listed phone number is (570) 207-6300.

What is Nidhi Bansal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nidhi Bansal enrolled in Medicare?

Yes. Nidhi Bansal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nidhi Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidhi Bansal reassigns Medicare benefits to Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (Syracuse, NY). 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 Nidhi Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nidhi Bansal was last updated on April 12, 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.