Vishal Banthia, MD
NPI 1043396559 · Otolaryngology Physician · Carlsbad, CA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vishal Banthia, MD is a Otolaryngology Physician provider in Carlsbad, CA (NPI 1043396559).
Provider details
- NPI number
- 1043396559
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- S8419 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,903 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Test for Allergy Using Allergenic Extract95004 | 1,600 | $4 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 121 | $186 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 83 | $199 |
| Biopsy Or Removal of Nasal Polyp Or Tissue Using an Endoscope31237 | 43 | $390 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 32 | $172 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 24 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 94 | 64 |
| Azelastine Hcl | 75 | 37 |
| Ipratropium Bromide | 59 | 32 |
| Azithromycin | 48 | 45 |
| Cephalexin | 42 | 34 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 31 | 24 |
| Methylprednisolone | 29 | 25 |
| Amoxicillin/Potassium Clav |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$865 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 39899 Balentine Dr Ste 200Newark, CA 94560-5361Phone: (800) 453-1420Fax: (800) 453-1420
- 2245 Texas Dr Ste 300Sugar Land, TX 77479-1468Phone: (800) 453-1420Fax: (800) 453-1420
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2022-08-18
- Certified
- 2022-08-15
Frequently asked questions
- What is Vishal Banthia's NPI number?
- Vishal Banthia's National Provider Identifier (NPI) is 1043396559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vishal Banthia's specialty?
- Vishal Banthia is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Vishal Banthia located?
- Vishal Banthia's practice location on file with NPPES is 2390 Faraday Ave, Carlsbad, CA 92008-7216.
- What is Vishal Banthia's phone number?
- The practice phone number listed in the NPPES registry for Vishal Banthia is (858) 909-0770.
- Does Vishal Banthia accept Medicare?
- Vishal Banthia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vishal Banthia's NPI active?
- Yes — Vishal Banthia's NPI (1043396559) is active in the NPPES registry as of the last update on 2022-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.