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DR. SONIA BANSAL MD
NPI 1467682617
Emergency Medicine in New York, NY

Active since July 22, 2009PECOS EnrolledAccepts Medicare Assignment
1879 MADISON AVE, NEW YORK, NY 10035(908) 420-7768 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sonia Bansal Md NPPES

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

DR. SONIA BANSAL MD (NPI 1467682617) is an individual emergency medicine provider in New York, New York, licensed in Texas (N7775) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1467682617
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SONIA BANSALCredential: MD
Location Address1879 MADISON AVENew York, NY 10035-2709
Mailing Address93 Hidden Lake DrNorth Brunswick, NJ 08902-1212 · (908) 420-7768
Phone(908) 420-7768
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 22, 2009
Last NPPES UpdateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1467682617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · N7775✔ Licensed in NY · 254034-1✔ Licensed in NJ · 25MA08622300
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1879 MADISON AVE, New York, NY 10035
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company.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. Sonia 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 ID5395880538
PECOS Enrollment IDI20120927000148
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
205 services195 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
132 services123 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
57 services55 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10035 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

DR. KATIKANENI RAO MD
Pediatrics
1879 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4100
SOJI OLUWOLE M.D.
Surgery
1879 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
CAREHEALTH MEDICAL ASSOCIATES
Specialist
1879 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4570
ANDREA ZALDIVAR RPN
Registered Nurse (Diabetes Educator)
1879 MADISON AVE, 6TH FLR
NEW YORK, NY 10035
New York County (212) 423-4500
MADISON AVENUE EMERGENCY MEDICINE PC
Emergency Medicine
1879 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4249
JOSIE YAPOR DDS
Dentist (General Practice)
1879 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
CANDICE DIAZ VAIMAN LCSW
Social Worker (Clinical)
1879 MADISON AVE
NEW YORK, NY 10035
New York County (631) 796-1880
DR. SABINA SINGH MD
Psychiatry & Neurology (Psychiatry)
1879 MADISON AVE, NORTH GENERAL HOSPITAL, 4TH FLOOR
NEW YORK, NY 10035
New York County (212) 423-4414

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 Sonia Bansal's NPI number?

The NPI number for Sonia Bansal is 1467682617. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Sonia Bansal located?

Sonia Bansal practices at 1879 Madison Ave, New York, NY 10035. The listed phone number is (908) 420-7768.

What is Sonia Bansal's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sonia Bansal enrolled in Medicare?

Yes. Sonia 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 Sonia Bansal accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Sonia 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.

Is Sonia Bansal affiliated with any hospitals?

According to CMS data, Sonia Bansal is affiliated with Memorial Hermann Hospital System and Hca Houston Healthcare West.

When was this NPI record last updated?

The NPPES record for Sonia Bansal was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.