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DR. NILAM BANSAL O.D.
NPI 1396012969
Optometrist in Waldorf, MD

Active since November 25, 2011PECOS Enrolled
11930 ACTON LN, WALDORF, MD 20601(520) 240-9317 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2023, Jan 14, 2023 (2 updates tracked since 2023).

About Dr. Nilam Bansal O.d. NPPES

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

DR. NILAM BANSAL O.D. (NPI 1396012969) is an individual optometrist in Waldorf, Maryland, licensed in California (33339) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1396012969
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. NILAM BANSALCredential: O.D.
Location Address11930 ACTON LNWaldorf, MD 20601-3689
Mailing Address13905 Chadsworth TerLaurel, MD 20707-9436 · (520) 240-9317
Phone(520) 240-9317
Sole ProprietorYes
Enumeration DateNovember 25, 2011
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1396012969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · 33339✔ Licensed in MD · TA2295
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
11930 ACTON LN, Waldorf, MD 20601
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Secondary Practice Location 1

Location 11809 National AveSan Diego, CA 92113-2113 · Phone (619) 515-2300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nilam Bansal O.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Nilam Bansal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers Of San Diego, Inc
2,270 mi
Federally Qualified Health Center (FQHC)
1111 W CHASE AVE
El Cajon, CA 92020
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1104861681 (619) 515-2499

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20601 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 5

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

WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
11930 ACTON LN
WALDORF, MD 20601
Charles County (301) 705-7040
WAL-MART STORES EAST, LP
Eyewear Supplier
11930 ACTON LN
WALDORF, MD 20601
Charles County (301) 705-7070
FRANKLINE TAKUNAW OBEN
Pharmacist
11930 ACTON LN
WALDORF, MD 20601
Charles County (301) 705-7040
DR. RHAMMI ELSHAZLI OD
Optometrist
11930 ACTON LN
WALDORF, MD 20601
Charles County (240) 435-4822
EVELYNE TEMAH
Pharmacist
11930 ACTON LN
WALDORF, MD 20601
Charles County (301) 705-7040

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 Nilam Bansal's NPI number?

The NPI number for Nilam Bansal is 1396012969. It was assigned to this individual provider in the NPPES registry on November 25, 2011.

Where is Nilam Bansal located?

Nilam Bansal practices at 11930 Acton Ln, Waldorf, MD 20601. The listed phone number is (520) 240-9317.

What is Nilam Bansal's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nilam Bansal enrolled in Medicare?

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

Which organization bills Medicare for Nilam Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nilam Bansal reassigns Medicare benefits to Family Health Centers Of San Diego, Inc (El Cajon, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nilam Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nilam Bansal was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.