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DR. RAJNISH BANSAL MD
NPI 1417944190
Internal Medicine in East Providence, RI

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
900 WARREN AVE, STE 400, EAST PROVIDENCE, RI 02914(401) 331-1221(401) 751-8003 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rajnish Bansal Md NPPES

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

DR. RAJNISH BANSAL MD (NPI 1417944190) is an individual internal medicine provider in East Providence, Rhode Island, licensed in Rhode Island (MD10218) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1417944190
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAJNISH BANSALCredential: MD
Location Address900 WARREN AVE, STE 400East Providence, RI 02914-1430
Mailing Address10 Davol Sq, Ste 400Providence, RI 02903-4754 · (401) 421-4000 · Fax (401) 272-1456
Phone(401) 331-1221
Fax(401) 751-8003
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 29, 2005
Last NPPES UpdateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1417944190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD10218
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.
900 WARREN AVE, East Providence, RI 02914
Open in Google Maps ↗

Other Identifiers 11

Other10240RI · Neighborhood Health Plan
Other406635RI · Blue Chip
Other04-02810RI · United Health Care
Other0540483739RI · Great West Health Care
Other110193084RI · Railroad Medicare
Other710046201RI · Cigna
Other69821RI · Harvard Health Plan
Other709004159RI · Medicare Group
Other22011RI · Bcbs Of Ri
Other402478RI · Tufts Health Plan
Medicaid9022011RI

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. Rajnish 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 ID7416984612
PECOS Enrollment IDI20050719001286
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 services44 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.
115 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services101 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services48 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
40 services38 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number410004
Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

MATTHEW J FRANCO MD
Internal Medicine (Cardiovascular Disease)
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Providence County (800) 508-4908
SUZANNE BURNS MD
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Providence County (401) 331-1221
COASTAL MEDICAL, INC.
Non-Pharmacy Dispensing Site
900 WARREN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 331-1221
MRS. MELISSA E INGS ACNP-BC
Nurse Practitioner (Acute Care)
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Providence County (800) 508-4908
DR. LARRY SCHOENFELD MD
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Providence County (401) 331-1221
COASTAL MEDICAL, INC
Internal Medicine
900 WARREN AVE, STE 401
EAST PROVIDENCE, RI 02914
Providence County (401) 421-4000
RENEE HEIDI MIGUEL
Nurse Practitioner
900 WARREN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 331-1221
DR. MANOJ KUMAR GARG D.O.
Family Medicine
900 WARREN AVE, STE 100
EAST PROVIDENCE, RI 02914
Providence County (401) 383-9662

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 Rajnish Bansal's NPI number?

The NPI number for Rajnish Bansal is 1417944190. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Rajnish Bansal located?

Rajnish Bansal practices at 900 Warren Ave Ste 400, East Providence, RI 02914. The listed phone number is (401) 331-1221.

What is Rajnish Bansal's specialty?

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

Is Rajnish Bansal enrolled in Medicare?

Yes. Rajnish 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.

Is Rajnish Bansal affiliated with any hospitals?

According to CMS data, Rajnish Bansal is affiliated with Roger Williams Medical Center, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Rajnish Bansal was last updated on April 2, 2024. 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.