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PANKAJ BANSAL M.D.
NPI 1508181579
Internal Medicine - Rheumatology in Eau Claire, WI

Active since April 02, 2010PECOS Enrolled
1400 BELLINGER ST, EAU CLAIRE, WI 54703(715) 838-6073 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2024, Dec 12, 2023, Oct 17, 2023 and 2 more (5 updates tracked since 2018).

About Pankaj Bansal M.d. NPPES

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

PANKAJ BANSAL M.D. (NPI 1508181579) is an individual rheumatology provider in Eau Claire, Wisconsin, licensed in Wisconsin (62236) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508181579
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NamePANKAJ BANSALCredential: M.D.
Location Address1400 BELLINGER STEau Claire, WI 54703-5222
Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222
Phone(715) 838-6073
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 2, 2010
Last NPPES UpdateAugust 13, 20245 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1508181579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in WI · 62236✔ Licensed in TX · U8291✔ Licensed in FL · ME154368
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License U8291 (TX)
1400 BELLINGER ST, Eau Claire, WI 54703
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12501 N Orange Ave Ste 402Orlando, FL 32804-4674 · Phone (407) 894-8696 · Fax (407) 234-2310
Location 2777 MAIN ST STE 500Frisco, TX 75036 · Phone (972) 636-5826
Location 39191 Kyser Way Ste 205Frisco, TX 75033-2783 · Phone (972) 636-5826

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pankaj Bansal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597989830
PECOS Enrollment IDI20140606001385, I20221010003223, I20240321000449
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

6

Medicare enrollment records show Pankaj Bansal reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
1.4 mi
Multi-Specialty
733 W CLAIREMONT AVE
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,248 clinicians in this Medicare group
NPI 1235588831 (715) 838-5222
Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
71 mi
Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,003 clinicians in this Medicare group
NPI 1629056049 (608) 392-3861
Texas Primary Care Clinic, PLLC
854 mi
Internal Medicine
777 MAIN ST STE 600
Frisco, TX 75036
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1376049585 (972) 643-8727
Central Florida Rheumatology Consultants LLC
1,232 mi
Rheumatology
915 HARLEY STRICKLAND BLVD
Orange City, FL 32763
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1205328408 (386) 951-4251
Florida Hospital Medical Group Inc
1,253 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Gk Bansal Rheumatology PLLC
1,256 mi
Internal Medicine
7932 W SAND LAKE RD STE 200
Orlando, FL 32819
  • Reassigned Medicare billing, Florida enrollment
NPI 1275396608 (407) 355-7759

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 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.
186 services131 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521314
Location1501 Thompson StBloomer, WI 54724 · Chippewa County
Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521340
Location2321 Stout RdMenomonie, WI 54751 · Dunn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54703 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

ELLEN A CHRISTENSEN OT
Occupational Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Eau Claire County (715) 838-5222
JESSICA ERIN ROETS OT
Occupational Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Eau Claire County (715) 838-5222
SUZANNE M STEWART LPC
Counselor (Professional)
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Eau Claire County (715) 838-5222
KATHRYN LEIGH OLSON MHA, RD, LDN,CDE
Dietitian, Registered
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Eau Claire County (715) 838-5222
CAMILLA MICHELLE NELSON MD
Pediatrics
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Eau Claire County (715) 838-5222
SARAH HOTOVY MD
Family Medicine
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Eau Claire County (715) 838-3311
JADE ELLIE JEHN
Occupational Therapist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Eau Claire County (715) 838-5222
ANDREA AGUAYO PHARMD
Pharmacist
1400 BELLINGER ST
EAU CLAIRE, WI 54703
Eau Claire County (715) 838-5222

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 Pankaj Bansal's NPI number?

The NPI number for Pankaj Bansal is 1508181579. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Pankaj Bansal located?

Pankaj Bansal practices at 1400 Bellinger St, Eau Claire, WI 54703. The listed phone number is (715) 838-6073.

What is Pankaj Bansal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Pankaj Bansal enrolled in Medicare?

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

Which organizations bill Medicare for Pankaj Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pankaj Bansal reassigns Medicare benefits to 6 organizations: Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Eau Claire, WI), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), Texas Primary Care Clinic, PLLC (Frisco, TX), Central Florida Rheumatology Consultants LLC (Orange City, FL), Florida Hospital Medical Group Inc (Orlando, FL) and 1 more organization, 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 Pankaj Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pankaj Bansal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 7 other insurers list Pankaj 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 Pankaj Bansal affiliated with any hospitals?

According to CMS data, Pankaj Bansal is affiliated with Orlando Health, Adventhealth Orlando, Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Health System Chippewa Valley and Mayo Clinic Health System-Red Cedar Inc.

When was this NPI record last updated?

The NPPES record for Pankaj Bansal was last updated on August 13, 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.