VISHAL BANTHIA (MD) – Otolaryngology Physician, NPI 1043396559
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
428 OTOLARYNGOLOGY in MI
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Provider Addresses for VISHAL BANTHIA (MD)
1111, Teneyck Street, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492012461
Phone: (517) 205-8940
Type: Location
2245 Texas Dr Ste 300
Sugar Land, TX 774791468
Phone: (800) 453-1420
Fax: (800) 453-1420
Type: Location
39899 Balentine Dr Ste 200
Newark, CA 945605361
Phone: (800) 453-1420
Fax: (800) 453-1420
Type: Location
39899 BALENTINE DR STE 200
NEWARK, CA 945605361
Phone: (800) 453-1420
Fax: (800) 453-1420
Type: Mailing
2390 FARADAY AVE
CARLSBAD, CA 920087216
Phone: (858) 909-0770
Fax: (858) 909-0880
Type: Location
967, Hammond Street, Sunset Strip, West Hollywood, Los Angeles County, California, 90069, United States
UNIT 6
LOS ANGELES, CA 900694431
Phone: (917) 721-4306
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,273.
Total Amount is formed as General ($1,273) + Research ($0) + Ownership ($0) = $1,273.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Neurent Medical Limited ($933).
Total Amount
$1,273
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,273
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurent Medical Limited | $933 |
| AERIN MEDICAL INC. | $98 |
| Genentech, Inc. | $93 |
| Optinose US, Inc. | $54 |
| OnMark, Inc. | $49 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040823001426 | I | Otolaryngology | CA | TBD |
| I20201028000492 | I | Otolaryngology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 98967 | Telephone medical discussion provided by nonphysician professional, 11-20 minutes | 245 | 197 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 204 | 203 | $0 |
| 98968 | Telephone medical discussion provided by nonphysician professional, 21-30 minutes | 194 | 157 | $0 |
| 69210 | Removal of impacted ear wax | 130 | 119 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 92 | 92 | $0 |
Insurance plans in this area (ZIP 49201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | VA | |
| Qualified Audiologist | CA | |
| Physician Assistant | CA | |
| Otolaryngology, Diagnostic Radiology | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Qualified Audiologist | CA |
Reviews
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