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DR. SHELLY BANSAL MD
NPI 1174793111
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Saint Joseph, MO

Active since March 05, 2008PECOS EnrolledAccepts Medicare Assignment
802 N RIVERSIDE RD STE 210, SAINT JOSEPH, MO 64507(816) 271-6200(816) 271-6749 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2024, Dec 11, 2020, Nov 17, 2020 and 3 more (6 updates tracked since 2016).

About Dr. Shelly Bansal Md NPPES

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

DR. SHELLY BANSAL MD (NPI 1174793111) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Saint Joseph, Missouri, licensed in Ohio (35.096003) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1174793111
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameDR. SHELLY BANSALCredential: MD
Location Address802 N RIVERSIDE RD STE 210Saint Joseph, MO 64507-2509
Mailing Address445 N Silverbell Rd Ste 201Tucson, AZ 85745-2686 · (520) 396-1370 · Fax (520) 396-1375
Phone(816) 271-6200
Fax(816) 271-6749
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 5, 2008
Last NPPES UpdateMay 2, 20246 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1174793111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in OH · 35.096003✔ Licensed in MO · 2022044341
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
802 N RIVERSIDE RD STE 210, Saint Joseph, MO 64507
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Secondary Practice Locations 2

Location 15301 E Grant RdTucson, AZ 85712-2805 · Phone (520) 324-5461 · Fax (520) 324-1406
Location 23533 Southern Blvd Ste 5650Kettering, OH 45429-1263 · Phone (937) 294-3611 · Fax (937) 294-9010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Blue Cross and Blue Shield of Kansas, Inc..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

Dr. Shelly 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 ID4688801806
PECOS Enrollment IDI20250430000091
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 Reassignments

4

Medicare enrollment records show Shelly Bansal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charleston Area Medical Center Inc
705 mi
Multi-Specialty
407 MAIN ST STE 1
Belpre, OH 45714
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1588422547 (740) 315-5709
Tmc Medical Network
1,038 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Vhs Outpatient Clinics, Inc.
1,068 mi
Multi-Specialty
1325 N LITCHFIELD RD STE 125
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 267 clinicians in this Medicare group
NPI 1912979964 (623) 242-1231
Kaweah Delta Health Care District
1,353 mi
Primary Care
1110 S BEN MADDOX WAY
Visalia, CA 93292
  • Reassigned Medicare billing, California enrollment
  • 184 clinicians in this Medicare group
NPI 1881984706 (559) 624-4800

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

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.

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.
25 services22 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.
21 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services14 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
11 services11 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64507 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shelly Bansal's NPI number?

The NPI number for Shelly Bansal is 1174793111. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Shelly Bansal located?

Shelly Bansal practices at 802 N Riverside Rd Ste 210, Saint Joseph, MO 64507. The listed phone number is (816) 271-6200.

What is Shelly Bansal's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Shelly Bansal enrolled in Medicare?

Yes. Shelly 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 organizations bill Medicare for Shelly Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Bansal reassigns Medicare benefits to 4 organizations: Charleston Area Medical Center Inc (Belpre, OH), Tmc Medical Network (Tucson, AZ), Vhs Outpatient Clinics, Inc. (Goodyear, AZ) and Kaweah Delta Health Care District (Visalia, CA). Each 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 Shelly Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Bansal accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and Blue Cross and Blue Shield of Kansas, Inc. list Shelly 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.

When was this NPI record last updated?

The NPPES record for Shelly Bansal was last updated on May 2, 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.