DR. BILAL ANSARI M.D.
NPI 1386648749
Internal Medicine - Medical Oncology in Mishawaka, IN

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
80.3/100
CMS Quality Rating
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545(574) 237-1328(574) 968-9442 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Apr 19, 2019 (2 updates tracked since 2019).

About Dr. Bilal Ansari M.d. NPPES

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

DR. BILAL ANSARI M.D. (NPI 1386648749) is an individual medical oncology provider in Mishawaka, Indiana, licensed in Indiana (01051238A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1386648749
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. BILAL ANSARICredential: M.D.
Location Address5340 HOLY CROSS PKWYMishawaka, IN 46545-1470
Mailing AddressPo Box 746092Atlanta, GA 30374-6092 · (574) 334-5400 · Fax (574) 237-1348
Fax(574) 968-9442
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 13, 2005
Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
NPI 1386648749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in IN · 01051238A
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 4301081171 (MI)
5340 HOLY CROSS PKWY, Mishawaka, IN 46545

Other Identifiers 2

Medicaid200402780AIN
Medicaid10-4405482MI

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

Dr. Bilal Ansari M.d. 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 ID1658360078
PECOS Enrollment IDI20060303000400
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 46

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
28,320 services218 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
10,260 services12 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,580 services27 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
3,800 services11 patients
Injection, atropine sulfate, 0.01 mg J0461
Atropine sulfate is a medication given via injection to regulate heart rate or treat certain types of poisoning. The 0.01 mg dosage is carefully measured to provide effective, safe treatment.
2,980 services11 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,692 services86 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Unity Physicians Hospital

Acute Care Hospitals · Mishawaka, IN
OwnershipPhysician
CMS Certification Number150177
Location4455 Edison Lakes PkwyMishawaka, IN 46545 · St. Joseph County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.93
Promoting Interoperability86
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$17.91 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$45.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$101.66 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers44 claims123 services$35.21 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
3 suppliers18 claims21 services$272.99 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers11 claims11 services$18.94 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 20

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

Internal Medicine (Hematology & Oncology)
5340 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Internal Medicine (Medical Oncology)
5340 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Nurse Practitioner (Family)
5340 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Internal Medicine (Medical Oncology)
5340 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Internal Medicine (Hematology & Oncology)
5340 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Internal Medicine (Medical Oncology)
5340 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Radiology (Radiation Oncology)
5340 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Nurse Practitioner
5340 HOLY CROSS PKWY
MISHAWAKA, IN 46545

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 Bilal Ansari's NPI number?

The NPI number for Bilal Ansari is 1386648749. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Bilal Ansari located?

Bilal Ansari practices at 5340 Holy Cross Pkwy, Mishawaka, IN 46545. The listed phone number is (574) 237-1328.

What is Bilal Ansari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Bilal Ansari enrolled in Medicare?

Yes. Bilal Ansari 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 Bilal Ansari accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Bilal Ansari 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 Bilal Ansari affiliated with any hospitals?

According to CMS data, Bilal Ansari is affiliated with Saint Joseph Regional Medical Center, Elkhart General Hospital, Memorial Hospital Of South Bend, Saint Joseph Regional Medical Center - Plymouth and Unity Physicians Hospital.

When was this NPI record last updated?

The NPPES record for Bilal Ansari was last updated on November 15, 2023. 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.