SHALINI BANSIL MD
NPI 1467429340
Psychiatry & Neurology - Neurology in Washington, DC

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
80.13/100
CMS Quality Rating
2150 PENNSYLVANIA AVE NW, 9TH FLOOR SUITE 9-400, WASHINGTON, DC 20037(202) 741-2700(202) 741-2722 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shalini Bansil Md NPPES

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

SHALINI BANSIL MD (NPI 1467429340) is an individual neurology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD044603) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in State College.

NPPES Registry Identity

NPI1467429340
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHALINI BANSILCredential: MD
Location Address2150 PENNSYLVANIA AVE NW, 9TH FLOOR SUITE 9-400Washington, DC 20037-3201
Mailing Address2150 Pennsylvania Ave Nw, 9th Floor Suite 9-400Washington, DC 20037-3201 · (202) 741-2700
Fax(202) 741-2722
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMarch 1, 2006
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1467429340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in DC · MD044603
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2150 PENNSYLVANIA AVE NW, Washington, DC 20037

Secondary Practice Location 1

Location 11800 E Park AveState College, PA 16803-6701 · Phone (814) 231-7000 · Fax (814) 238-0790

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shalini Bansil 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 ID1850306796
PECOS Enrollment IDI20170303000947, I20200928000432
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 Reassignments

7

Medicare enrollment records show Shalini Bansil reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2221 NOLL DR STE 2000
Lancaster, PA 17603
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 994 clinicians in this Medicare group
Critical Access
214 PEACH ORCHARD RD
Mc Connellsburg, PA 17233
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 clinicians in this Medicare group
Dietitian, Registered
3100 SCHOOLHOUSE RD
Middletown, PA 17057
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
Primary Care
403 N 13TH ST
Reading, PA 19604
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 251 clinicians in this Medicare group
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
Diagnostic Radiology
100 N ACADEMY AVE
Danville, PA 17822
  • Reassigned Medicare billing, District of Columbia enrollment
  • 18 clinicians in this Medicare group
Family Medicine
68 SPRING STREET
Lock Haven, PA 17445
  • Reassigned Medicare billing, District of Columbia enrollment
  • 7 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services29 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.99
Promoting Interoperability84
Improvement Activities40
Cost66.93

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
2150 PENNSYLVANIA AVE NW, SUITE 5-416
WASHINGTON, DC 20037
Obstetrics & Gynecology (Obstetrics)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Hematology & Oncology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine (Rheumatology)
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037
Internal Medicine
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC 20037

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 Shalini Bansil's NPI number?

The NPI number for Shalini Bansil is 1467429340. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Shalini Bansil located?

Shalini Bansil practices at 2150 Pennsylvania Ave NW 9th Floor Suite 9-400, Washington, DC 20037. The listed phone number is (202) 741-2700.

What is Shalini Bansil's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Shalini Bansil enrolled in Medicare?

Yes. Shalini Bansil 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.

Which organizations bill Medicare for Shalini Bansil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Bansil reassigns Medicare benefits to 7 organizations: Penn State Health Medical Group, LLC (Lancaster, PA), Fulton County Medical Center (Mc Connellsburg, PA), The Milton S. Hershey Medical Center Physicians Group (Middletown, PA), St. Joseph Medical Group (Reading, PA), Mount Nittany Medical Center Health Services Inc (State College, PA) and 2 more organizations, listed in the Medicare section above. Each 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 Shalini Bansil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalini Bansil accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shalini Bansil 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 Shalini Bansil affiliated with any hospitals?

According to CMS data, Shalini Bansil is affiliated with Geisinger-Community Medical Center, Geisinger Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Shalini Bansil was last updated on September 12, 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.