RAJ KUMAR BANSAL MD
NPI 1386617603
Obstetrics & Gynecology - Maternal & Fetal Medicine in Lithia Springs, GA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
870 CRESTMARK DR, STE 201, LITHIA SPRINGS, GA 30122(770) 739-5242(770) 739-5204 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raj Kumar Bansal Md NPPES

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

RAJ KUMAR BANSAL MD (NPI 1386617603) is an individual maternal & fetal medicine provider in Lithia Springs, Georgia, licensed in Georgia (048412) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1991).

NPPES Registry Identity

NPI1386617603
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameRAJ KUMAR BANSALCredential: MD
Location Address870 CRESTMARK DR, STE 201Lithia Springs, GA 30122
Mailing Address870 Crestmark Dr, Ste 201Lithia Springs, GA 30122 · (770) 739-5242 · Fax (770) 739-5204
Fax(770) 739-5204
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1991
Enumeration DateFebruary 8, 2006
Last NPPES UpdateMarch 24, 2016
NPI 1386617603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in GA · 048412
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
870 CRESTMARK DR, Lithia Springs, GA 30122

Other Identifiers 3

Medicare UPINF82413
Medicare ID-Type Unspecified16BBBTTGA
Medicaid00864421EGA

Accepted 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

Raj Kumar 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 ID8426117367
PECOS Enrollment IDI20081106000258
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 30122 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner
870 CRESTMARK DR
LITHIA SPRINGS, GA 30122
Dentist (General Practice)
870 CRESTMARK DR, SUITE 100
LITHIA SPRINGS, GA 30122
Specialist
870 CRESTMARK DR, SUITE 103
LITHIA SPRINGS, GA 30122
Massage Therapist
870 CRESTMARK DR
LITHIA SPRINGS, GA 30122
Family Medicine
870 CRESTMARK DR, SUITE 202
LITHIA SPRINGS, GA 30122
Specialist
870 CRESTMARK DR, SUITE 201
LITHIA SPRINGS, GA 30122
Internal Medicine
870 CRESTMARK DR, SUITE 202
LITHIA SPRINGS, GA 30122
Massage Therapist
870 CRESTMARK DR, SUITE 103
LITHIA SPRINGS, GA 30122

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 Raj Bansal's NPI number?

The NPI number for Raj Bansal is 1386617603. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Raj Bansal located?

Raj Bansal practices at 870 Crestmark Dr Ste 201, Lithia Springs, GA 30122. The listed phone number is (770) 739-5242.

What is Raj Bansal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Raj Bansal enrolled in Medicare?

Yes. Raj 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 Raj Bansal accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Raj 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 Raj Bansal was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.