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DR. GIRRAJ KISHORE BANSAL MD
NPI 1376559336
Internal Medicine in Reynoldsburg, OH

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
1649 BRICE ROAD, SUITE A, REYNOLDSBURG, OH 43068(614) 864-3434(614) 864-8811 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Girraj Kishore Bansal Md NPPES

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

DR. GIRRAJ KISHORE BANSAL MD (NPI 1376559336) is an individual internal medicine provider in Reynoldsburg, Ohio, licensed in Ohio (048549) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Ohio State University College Of Medicine (1982).

NPPES Registry Identity

NPI1376559336
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GIRRAJ KISHORE BANSALCredential: MD
Location Address1649 BRICE ROAD, SUITE AReynoldsburg, OH 43068-2796
Mailing Address1649 Brice Road, Suite AReynoldsburg, OH 43068-2796 · (614) 864-3434 · Fax (614) 864-8811
Phone(614) 864-3434
Fax(614) 864-8811
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1982
Enumeration DateJuly 31, 2006
Last NPPES UpdateSeptember 25, 2012
✔ NPI 1376559336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 048549
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1649 BRICE ROAD, Reynoldsburg, OH 43068
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Other Identifiers 4

Medicaid0536950OH
Medicare PIN0597523
Medicare PIN0597523OH
Medicare UPINA16858OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Girraj Kishore 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 ID5193785103
PECOS Enrollment IDI20041014000242
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 4

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
94 services15 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.
45 services18 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.
30 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43068 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Girraj Bansal's NPI number?

The NPI number for Girraj Bansal is 1376559336. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Girraj Bansal located?

Girraj Bansal practices at 1649 Brice Road Suite A, Reynoldsburg, OH 43068. The listed phone number is (614) 864-3434.

What is Girraj Bansal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Girraj Bansal enrolled in Medicare?

Yes. Girraj 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.

What insurance does Girraj Bansal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 6 other insurers list Girraj 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.

Is Girraj Bansal affiliated with any hospitals?

According to CMS data, Girraj Bansal is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Girraj Bansal was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.