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SANJEEV KUMAR BANSAL M.D.
NPI 1174737225
Emergency Medicine in Stockton, CA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
2545 W HAMMER LN, STOCKTON, CA 95209(209) 957-7050 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2021, Aug 2, 2019 (2 updates tracked since 2019).

About Sanjeev Kumar Bansal M.d. NPPES

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

SANJEEV KUMAR BANSAL M.D. (NPI 1174737225) is an individual emergency medicine provider in Stockton, California, licensed in California (A103581) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1174737225
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSANJEEV KUMAR BANSALCredential: M.D.
Location Address2545 W HAMMER LNStockton, CA 95209-2839
Mailing Address3800 Dale RdModesto, CA 95356-8627 · (209) 735-5000
Phone(209) 957-7050
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 9, 2007
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
✔ NPI 1174737225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A103581
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 52117 (WI), A103581 (CA)
2545 W HAMMER LN, Stockton, CA 95209
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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

Sanjeev Kumar Bansal M.d. 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 ID1052470812
PECOS Enrollment IDI20100315000858
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95209 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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. NKECHIYERE NICOLE EBOKA DO
Family Medicine
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 954-4040
MARTHA CATALINA ZIMMER NP
Nurse Practitioner (Acute Care)
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 941-0127
GARY M ALEGRE MD
Orthopaedic Surgery
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 948-1641
SUTTER VALLEY MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 957-7050
JERRY CASE CROOKS M.D.
Orthopaedic Surgery
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 957-7050
KEVIN KAYE MIKAELIAN M.D.
Orthopaedic Surgery
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 957-7050
ABASI BOMANI MD
Clinic/Center (Urgent Care)
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (213) 226-7443
JENNIFER THUY HO PHUNG M.D.
Obstetrics & Gynecology
2545 W HAMMER LN
STOCKTON, CA 95209
San Joaquin County (209) 957-7050

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 Sanjeev Bansal's NPI number?

The NPI number for Sanjeev Bansal is 1174737225. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Sanjeev Bansal located?

Sanjeev Bansal practices at 2545 W Hammer Ln, Stockton, CA 95209. The listed phone number is (209) 957-7050.

What is Sanjeev Bansal's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sanjeev Bansal enrolled in Medicare?

Yes. Sanjeev 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.

When was this NPI record last updated?

The NPPES record for Sanjeev Bansal was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.