Mimi G Bansal, MD
NPI 1003978669 · Procedural Dermatology Physician · Lake Success, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mimi G Bansal, MD is a Procedural Dermatology Physician organization in Lake Success, NY (NPI 1003978669).
Provider details
- NPI number
- 1003978669
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mimi Bansal, Owner(516) 352-2700
- License
- 2122661 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mimi G Bansal, MD's NPI number?
- Mimi G Bansal, MD's National Provider Identifier (NPI) is 1003978669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mimi G Bansal, MD?
- Mimi G Bansal, MD is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mimi G Bansal, MD located?
- Mimi G Bansal, MD's practice location on file with NPPES is 2001 Marcus Ave, Lake Success, NY 11042.
- What is Mimi G Bansal, MD's phone number?
- The practice phone number listed in the NPPES registry for Mimi G Bansal, MD is (516) 352-2700.
- Does Mimi G Bansal, MD accept Medicare?
- Mimi G Bansal, MD is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mimi G Bansal, MD?
- The authorized official listed on Mimi G Bansal, MD's NPPES record is Mimi Bansal, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mimi G Bansal, MD's NPI active?
- Yes — Mimi G Bansal, MD's NPI (1003978669) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.