PRERNA BANSAL MD
NPI 1376993386
Pediatrics - Pediatric Cardiology in Jacksonville, FL

Q: What is Prerna Bansal's NPI number?

The NPI number for Prerna Bansal is 1376993386. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Prerna Bansal's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Prerna Bansal was last updated on October 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2016PECOS Enrolled

841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207(904) 202-8550(904) 393-7808 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2023, Jun 21, 2016 (2 updates tracked since 2016).

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About Prerna Bansal Md NPPES

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

PRERNA BANSAL MD (NPI 1376993386) is an individual pediatric cardiology provider in Jacksonville, Florida, licensed in Florida (ME158327) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376993386

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NamePRERNA BANSALCredential: MD

Location Address841 PRUDENTIAL DR STE 280Jacksonville, FL 32207-8350

Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4100 · Fax (904) 697-5102

Phone(904) 202-8550

Fax(904) 393-7808

Sole ProprietorYes

Enumeration DateJune 21, 2016

Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1376993386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in FL · ME158327

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

841 PRUDENTIAL DR STE 280, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prerna 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.

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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.

SARA E MENDOZA CRESPO MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)