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DR. SUNIL KUMAR BANSAL M.D.
NPI 1770530818
Emergency Medicine in Rochester, NY

Active since May 27, 2006PECOS Enrolled
76.84/100
CMS Quality Rating
1000 SOUTH AVE, BOX 31, ROCHESTER, NY 14620(585) 341-6880 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Jul 5, 2023 (2 updates tracked since 2023).

About Dr. Sunil Kumar Bansal M.d. NPPES

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

DR. SUNIL KUMAR BANSAL M.D. (NPI 1770530818) is an individual emergency medicine provider in Rochester, New York, licensed in New York (235656) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770530818
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SUNIL KUMAR BANSALCredential: M.D.
Location Address1000 SOUTH AVE, BOX 31Rochester, NY 14620-2733
Mailing Address1000 South Ave # 31Rochester, NY 14620-2733 · (585) 341-0901
Phone(585) 341-6880
Sole ProprietorYes
Enumeration DateMay 27, 2006
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
✔ NPI 1770530818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 235656
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.
1000 SOUTH AVE, Rochester, NY 14620
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 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.

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.
109 services108 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.
34 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

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.

ZAHIR ABU-BAKER B.S.
Pharmacist
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-6790
PIERA CARUBIA RD
Dietitian, Registered
1000 SOUTH AVE, BOX 95
ROCHESTER, NY 14620
Monroe County (585) 341-0695
DR. ALEXIS PLATEK MD
Obstetrics & Gynecology
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-0598
MISS LINDA MARIE SIRIANNI RD CDE CDN
Dietitian, Registered
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-6807
AMY OSGANIAN NP
Nurse Practitioner (Gerontology)
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-0963
BRIAN MAGOVNEY MD
Internal Medicine
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 473-2200
DR. TULSI DASS
Specialist
1000 SOUTH AVE, # 95
ROCHESTER, NY 14620
Monroe County (585) 442-3115
RICHARD ALLEN CRNA
Nurse Anesthetist, Certified Registered
1000 SOUTH AVE
ROCHESTER, NY 14620
Monroe County (585) 341-6267

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 Sunil Bansal's NPI number?

The NPI number for Sunil Bansal is 1770530818. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Sunil Bansal located?

Sunil Bansal practices at 1000 South Ave Box 31, Rochester, NY 14620. The listed phone number is (585) 341-6880.

What is Sunil Bansal's specialty?

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

Is Sunil Bansal enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sunil Bansal was last updated on June 25, 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.