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PRESQUE ISLE COLON AND RECTAL SURGERY
NPI 1598047508
Colon & Rectal Surgery in Erie, PA

Active since September 15, 2011
4125 W RIDGE RD, ERIE, PA 16506(814) 833-1119(814) 833-1138 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Presque Isle Colon And Rectal Surgery NPPES

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

PRESQUE ISLE COLON AND RECTAL SURGERY (NPI 1598047508) is a healthcare organization registered as a colon & rectal surgery in Erie, Pennsylvania and active in the NPI registry since September 2011. The organization lists Brian J Bansidhar, Provider, as its authorized official.

NPPES Registry Identity

NPI1598047508
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NamePRESQUE ISLE COLON AND RECTAL SURGERY
Location Address4125 W RIDGE RDErie, PA 16506-1763
Mailing Address4125 W Ridge RdErie, PA 16506-1763 · (814) 833-1119 · Fax (814) 833-1138
Phone(814) 833-1119
Fax(814) 833-1138
Organization SubpartNo
Authorized OfficialBrian J BansidharProvider · (814) 833-1119
Enumeration DateSeptember 15, 2011
Last NPPES UpdateApril 4, 2016
✔ NPI 1598047508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
4125 W RIDGE RD, Erie, PA 16506
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Presque Isle Colon And Rectal Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Presque Isle Colon And Rectal Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Bansidhar, D.O.
Colorectal Surgery (Proctology)
NPI 1992891220
4125 W RIDGE RD
Erie, PA 16506
(814) 833-1119
✔ PECOS✔ Accepts MedicareSame address

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

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 Presque Isle Colon And Rectal Surgery's NPI number?

The NPI number for Presque Isle Colon And Rectal Surgery is 1598047508. It was assigned to this organization in the NPPES registry on September 15, 2011.

Where is Presque Isle Colon And Rectal Surgery located?

Presque Isle Colon And Rectal Surgery is located at 4125 W Ridge Rd, Erie, PA 16506. The listed phone number is (814) 833-1119.

What is Presque Isle Colon And Rectal Surgery's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Presque Isle Colon And Rectal Surgery enrolled in Medicare?

Yes. Presque Isle Colon And Rectal Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Presque Isle Colon And Rectal Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Presque Isle Colon And Rectal Surgery. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Presque Isle Colon And Rectal Surgery was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.