DR. SUDHA BANSAL (MD) – Internal Medicine Physician, NPI 1487602686

DR. SUDHA BANSAL (MD) is a healthcare provider. based in Haddon heights, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA06499700 (NJ). The NPI Number for DR. SUDHA BANSAL (MD) is 1487602686

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUDHA BANSAL (MD)
NPI
1487602686
Phone
(856) 796-9200
Address
500 GROVE ST
Enumeration Date
4 May 2006
Last Update Date
8 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
5092734939
Group Practice PAC ID
3870404429
Professional Enrollment ID
I20230131001063
Address ID
NY104577606BR1650XCONC300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for DR. SUDHA BANSAL (MD)

  • 500, Grove Street, Haddon Heights, Camden County, New Jersey, 08035, United States

    SUITE 100

    HADDON HEIGHTS, NJ 080351761

    Phone: (856) 796-9200

    Fax: (856) 796-9397

    Type: Mailing

  • 218, Sunset Road, Buckingham Park, Willingboro, Willingboro Township, Burlington County, New Jersey, 08046, United States

    LOURDES MEDICAL CENTER BURLINGTON COUNTY

    WILLINGBORO, NJ 080461110

    Phone: (609) 835-3056

    Fax: (609) 835-3061

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061107000377IInternal MedicineNJTBD
I20170119002854IInternal MedicineWITBD
I20230131001063IInternal MedicineNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16659$0
99238Hospital discharge day management, 30 minutes or less2323$0
View full utilization report →

Insurance plans in this area (ZIP 08035)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870404429View full group profile

Reviews

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Frequently asked questions

What is DR. SUDHA BANSAL (MD)'s NPI number?
DR. SUDHA BANSAL (MD)'s NPI is 1487602686 — the number used across U.S. healthcare to identify this provider.
Is DR. SUDHA BANSAL (MD) still an active registrant?
DR. SUDHA BANSAL (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. SUDHA BANSAL (MD)?
DR. SUDHA BANSAL (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SUDHA BANSAL (MD)?
Travel planning: use Haddon Heights, New Jersey as the reference point for DR. SUDHA BANSAL (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.