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SUDHIR BANSAL MD
NPI 1356373633
Internal Medicine - Endocrinology, Diabetes & Metabolism in Warwick, RI

Active since July 07, 2006PECOS EnrolledCLIA 41D0083166 · Waiver
215 TOLLGATE ROAD, SUITE 309/310, WARWICK, RI 02886(401) 732-6828(401) 223-3040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sudhir Bansal Md NPPES

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

SUDHIR BANSAL MD (NPI 1356373633) is an individual endocrinology, diabetes & metabolism provider in Warwick, Rhode Island, licensed in Rhode Island (7603) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through July 25, 2027.

NPPES Registry Identity

NPI1356373633
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameSUDHIR BANSALCredential: MD
Location Address215 TOLLGATE ROAD, SUITE 309/310Warwick, RI 02886-4456
Mailing Address215 Tollgate Road, Suite 309/310Warwick, RI 02886-4456 · (401) 732-6828 · Fax (401) 223-3040
Phone(401) 732-6828
Fax(401) 223-3040
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356373633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in RI · 7603
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.
215 TOLLGATE ROAD, Warwick, RI 02886
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type Unspecified119020098
Other050461074Uhc
Other0000020098001Bc
Other119020098Medicare Pin
OtherCPG002461001Blue Chip
Medicare UPINE30019

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D0083166

Sudhir Bansal MD & Tej Bansal MD · Warwick, RI
Active · expires Jul 25, 2027
CLIA Number41D0083166
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorSudhir Bansal
Laboratory Phone(401) 732-6828
Laboratory LocationSudhir Bansal MD & Tej Bansal MD215 Tollgate Rd, Warwick, RI 02886
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers37 claims106 services$6.03 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers13 claims13 services$282.65 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers18 claims18 services$189.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MICHAEL ECONOMOS MD
Obstetrics & Gynecology
215 TOLLGATE ROAD, SUITE 106
WARWICK, RI 02886
Kent County (401) 732-5600

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 Sudhir Bansal's NPI number?

The NPI number for Sudhir Bansal is 1356373633. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Sudhir Bansal located?

Sudhir Bansal practices at 215 Tollgate Road Suite 309/310, Warwick, RI 02886. The listed phone number is (401) 732-6828.

What is Sudhir Bansal's specialty?

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

Is Sudhir Bansal enrolled in Medicare?

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

Does Sudhir Bansal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0083166) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sudhir Bansal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.