NPI Details
DR. Mimi G Bansal, M.D. is a dermatology in New Hyde Park, NY with 30 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Mimi G Bansal, M.D. NPI is 1568563567. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1995
The provider's business location address is:
2001 MARCUS AVE
SUITE N218
NEW HYDE PARK, NY
ZIP 11042-011
Phone: (516) 352-2700
Fax: (516) 437-6904
The NPI 1568563567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 33D2006690 - physician office with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
- Shaving of skin growth of body, arms, or legs, 0.5 cm or less (HCPCS:11300)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11301)
- Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS:11310)
- Destruction of skin growth, 15 or more growths (HCPCS:17111)
- Simple or single drainage of skin abscess (HCPCS:10060)
- Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:17282)
- Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less (HCPCS:11305)
- Biopsy of eyelid (HCPCS:67810)
- Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:11306)
- Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11311)
- Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:17272)
- Biopsy of ear (HCPCS:69100)
- Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/8/2007.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | 212266-1 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 2529062 | OTHER | NEW YORK | AETNA |
| 2 | G90627 | MEDICARE UPIN | NEW YORK | |
| 3 | 3K8631 | OTHER | NEW YORK | EMPIRE BCBS |
| 4 | 09U951 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | |
| 5 | 3C2836 | OTHER | NEW YORK | HEALTHNET |
| 6 | P1916938 | OTHER | NEW YORK | OXFORD |
