MISS PRIYA BANSAL M.D.
NPI 1760878847
Internal Medicine - Interventional Cardiology in Arcadia, CA

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
95.28/100
CMS Quality Rating
289 W HUNTINGTON DR STE 401, ARCADIA, CA 91007(626) 254-0074(626) 254-0079 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Jul 11, 2023, Sep 16, 2022 and 2 more (5 updates tracked since 2018).

About Miss Priya Bansal M.d. NPPES

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

MISS PRIYA BANSAL M.D. (NPI 1760878847) is an individual interventional cardiology provider in Arcadia, California, licensed in California (172093) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760878847
Entity TypeIndividualFemale
Primary Taxonomy207RI0011X
Provider Legal NameMISS PRIYA BANSALCredential: M.D.
Location Address289 W HUNTINGTON DR STE 401Arcadia, CA 91007-3493
Mailing AddressPo Box 80011City Of Industry, CA 91716-8011 · (626) 793-2885 · Fax (626) 793-6262
Fax(626) 254-0079
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateOctober 24, 20245 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
NPI 1760878847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CA · 172093
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
289 W HUNTINGTON DR STE 401, Arcadia, CA 91007

Secondary Practice Locations 2

Location 1625 S Fair Oaks Ave Ste 215Pasadena, CA 91105-2613 · Phone (626) 793-4139 · Fax (626) 793-4324
Location 2235 E Badillo StCovina, CA 91723-2116 · Phone (626) 915-4700 · Fax (626) 214-7815

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

Miss Priya Bansal M.d. 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 ID7810370384
PECOS Enrollment IDI20220816001434
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 8

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
141 services80 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
116 services115 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.
49 services49 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.
49 services44 patients
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.
45 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91007 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

95.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.08
Improvement Activities40
Cost74.31

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Nurse Practitioner
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Nurse Practitioner
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Internal Medicine (Cardiovascular Disease)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Nuclear Medicine (Nuclear Cardiology)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Internal Medicine (Clinical Cardiac Electrophysiology)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Internal Medicine (Interventional Cardiology)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007

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 Priya Bansal's NPI number?

The NPI number for Priya Bansal is 1760878847. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Priya Bansal located?

Priya Bansal practices at 289 W Huntington Dr Ste 401, Arcadia, CA 91007. The listed phone number is (626) 254-0074.

What is Priya Bansal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Priya Bansal enrolled in Medicare?

Yes. Priya 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.

When was this NPI record last updated?

The NPPES record for Priya Bansal was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.