Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407295215 Individual Practitioner Female Practitioner

Divya Bansal , PA-C

Physician Assistant • Lorton, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Divya Bansal, PA-C is a certified Physician Assistant practicing in Lorton, VA. With approximately 13 years of clinical experience since completing medical education in 2013, Divya Bansal delivers high-quality medical care to the local community at 8988 LORTON STATION BLVD, SUITE 202.

Divya Bansal is affiliated with Medstar Medical Group Ii Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope, repair of hernia of muscle at esophagus and stomach using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8988 Lorton Station Blvd, Suite 202

Lorton, VA 220794758

Telephone 7033722280
Fax 7033722024
Associated Practice Facility / Clinic
🏢 Loudoun Medical Group, Pc Facility NPI 1962871392

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lorton, VA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +1.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Lorton, VA (4432 Statewide)

Telehealth Adoption Rate
66.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
51.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bansal (13 Years) 13 Yrs
Lorton Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 12 $256.00 $124.16

Medical Specialties & State Licenses

CMS Verified: 2024-03-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110004272

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License DC PA031036

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License VA 0110-004272

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30016833620001 (VA)
Medicaid State Provider ID
1407295215 (VA)

Hospital & Practice Group Affiliations

Medstar Medical Group Ii Llc

1805 Columbia Rd Nw, Washington, DC 200092001

Phone: 2027974950

Medstar Medical Group Ii Llc

1145 19th St Nw, Washington, DC 200363735

Phone: 2024292401

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1003874025

Doctor of Medicine (M.D.)

NPI 1508832627

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 30, 2023

Registered at 8988 LORTON STATION BLVD, SUITE 202, LORTON, VA 220794758 (Tel: 7033722280)

📍
Updated Business Mailing Address November 30, 2023

Registered at 224-D CORNWALL STREET NW, SUITE 204, SUITE 403, LEESBURG, VA 201762704 (Tel: 7037376010)

NPI Profile Active June 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2015

Registered at 8988 LORTON STATION BLVD STE 202, LORTON, VA 220794758 (Tel: 7033722280)

📍
Updated Business Mailing Address June 11, 2015

Registered at 8988 LORTON STATION BLVD STE 202, LORTON, VA 220794758 (Tel: 7033722280)

👤
Provider Name / Credentials Updated June 11, 2015

Recorded as DIVYA BANSAL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2015

Physician Assistant (License #PA031036 in DC)

🟢
Initial NPI Registration & Enumeration June 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407295215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2013
Last Update: March 06, 2024
Sole Proprietor: No

Mailing Address

224-D Cornwall Street Nw, Suite 204, Suite 403

Leesburg, VA 201762704

Phone: 7037376010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.