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DR. UTSAV KETAN BANSAL MD
NPI 1851822936
Urology in Aventura, FL

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
20801 BISCAYNE BLVD STE 203, AVENTURA, FL 33180(305) 682-2580(305) 705-1677 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2023, Jul 20, 2022, Mar 21, 2017 (3 updates tracked since 2017).

About Dr. Utsav Ketan Bansal Md NPPES

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

DR. UTSAV KETAN BANSAL MD (NPI 1851822936) is an individual urology provider in Aventura, Florida, licensed in Florida (ME160533) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851822936
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. UTSAV KETAN BANSALCredential: MD
Location Address20801 BISCAYNE BLVD STE 203Aventura, FL 33180-1492
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Phone(305) 682-2580
Fax(305) 705-1677
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1851822936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME160533
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
20801 BISCAYNE BLVD STE 203, Aventura, FL 33180
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1601 N Flamingo Rd Ste 411Pembroke Pines, FL 33028-1012 · Phone (954) 844-9520
Location 21150 N 35th Ave Ste 670Hollywood, FL 33021-5435 · Phone (954) 844-9520

Other Identifiers 1

Medicaid119832100FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Utsav Ketan 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 ID2668853748
PECOS Enrollment IDI20231201001756
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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services87 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
43 services41 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
35 services34 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.
35 services27 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Memorial Hospital Pembroke

Acute Care Hospitals · Pembroke Pines, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100230
Location7800 Sheridan StPembroke Pines, FL 33024 · Broward County
Emergency services

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33180 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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 3

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

JONATHAN L SILBERSTEIN M.D.
Urology
20801 BISCAYNE BLVD STE 203
AVENTURA, FL 33180
Miami-Dade County (305) 682-2580
MS. SHERDENE BARRETT APRN
Nurse Practitioner (Family)
20801 BISCAYNE BLVD STE 203
AVENTURA, FL 33180
Miami-Dade County (305) 682-2580
MARK S SOLOWAY MD
Urology
20801 BISCAYNE BLVD STE 203
AVENTURA, FL 33180
Miami-Dade County (305) 682-2580

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 Utsav Bansal's NPI number?

The NPI number for Utsav Bansal is 1851822936. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Utsav Bansal located?

Utsav Bansal practices at 20801 Biscayne Blvd Ste 203, Aventura, FL 33180. The listed phone number is (305) 682-2580.

What is Utsav Bansal's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Utsav Bansal enrolled in Medicare?

Yes. Utsav 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 Utsav Bansal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 2 other insurers list Utsav 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 Utsav Bansal affiliated with any hospitals?

According to CMS data, Utsav Bansal is affiliated with Memorial Regional Hospital, Memorial Hospital Pembroke and Memorial Hospital West.

When was this NPI record last updated?

The NPPES record for Utsav Bansal was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.