Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shelly Bansal, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1174793111

Dr. Shelly Bansal, MD is a Thoracic Surgery in Saint Joseph, Missouri. Qualified in 2004, 22 years ago. Practices with Kaweah Delta Health Care District, a 110-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri and Ohio.

Years since qualifying
22
Licensed in
MO, OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

802 N Riverside Rd Ste 210
Saint Joseph, MO 64507-2509
Phone: (816) 271-6200
Fax: (816) 271-6749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5301 E Grant Rd, Tucson, AZ 85712-2805 — (520) 324-5461
  • 3533 Southern Blvd Ste 5650, Kettering, OH 45429-1263 — (937) 294-3611

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 35.096003 (OH)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 2022044341 (MO)

Record details

NPI number1174793111
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 5, 2008
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Kaweah Delta Health Care District — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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