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

Individual provider Emergency Medicine Physician · NPI 1417064387

Vijay Bansal, MD is an Emergency Medicine in Rochester, New York. Graduated from State University of New York at Buffalo School of Medicine in 2005, 21 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2006
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

65 Genesee St
Rochester, NY 14611-3201
Phone: (585) 368-3050
Fax: (585) 368-3058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 16 Bank St, Batavia, NY 14020-2250 — (585) 344-6713
  • 470 Long Pond Rd, Rochester, NY 14612-3057 — (585) 338-1200
  • 1425 Portland Ave, Rochester, NY 14621-3011 — (585) 338-1400

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 248944 (NY)

Record details

NPI number1417064387
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2006
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address100 Kings Hwy S, Rochester, NY 14617-5504

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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