Active NPI
Nikul Mahendra Panchal
- Foot & Ankle Surgery Podiatrist
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P04590
- Practice address
- 7730 W Boynton Beach Blvd Ste 7
Boynton Beach, FL 33437-6155 - Phone
- (561) 258-9430
- Fax
- (561) 935-1582
- NPI assigned
- May 1, 2017
- Last updated
- Dec 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00362900 | NJ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P04590 | FL | Primary |
Addresses
Primary practice location
7730 W Boynton Beach Blvd Ste 7
Boynton Beach, FL 33437-6155
Mailing address
7730 W Boynton Beach Blvd Ste 7
Boynton Beach, FL 33437-6155
Phone (561) 258-9430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7730 W Boynton Beach Blvd
Suite 7
Boynton Beach, FL 33437-6155
Phone (561) 369-2199
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 47 |
| Removal of tissue | 38 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 336 |
| Removal or shaving of skin growth | 296 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P04590 | FL | MD | Foot & Ankle Surgery Podiatrist |
| 25MD00362900 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Physicians of Ohio, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| PDC of Volusia LLC | Current | Accepting new patients | |
| Certified Foot & Ankle Specialists | Foot & Ankle Surgery | Current | Accepting new patients |
| Certified Foot & Ankle Specialists | Foot & Ankle Surgery | Current | Accepting new patients |
| Total Foot Care and Wellness Clinic, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Zwanger & Pesiri Radiology Group, LLP | Past | Accepting new patients | |
| Certified Foot & Ankle Specialists | Past | Accepting new patients | |
| Clay County Podiatry Associates PA | Past | Accepting new patients |
Locations
7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199
4733 W Atlantic Ave
Ste 2
Delray Beach, FL 33445
Phone (561) 270-2898
6500 Fort Caroline Rd
Ste A
Jacksonville, FL 32277
Phone (904) 323-0954
8021 Philips Hwy
Ste 1
Jacksonville, FL 32256
Phone (904) 323-0954
1215 Dunn Ave
Ste 3
Jacksonville, FL 32218
Phone (904) 323-0954
14444 Beach Blvd
Ste 28
Jacksonville Beach, FL 32250
Phone (904) 367-2277
905 Beach Blvd
#B
Jacksonville Beach, FL 32250
Phone (904) 246-4831
430 College Dr
Ste 115
Middleburg, FL 32068
Phone (904) 291-4885
1521 Forest Hill Blvd
Ste 4
West Palm Beach, FL 33406
Phone (561) 357-9330
1325 Stringtown Rd
Ste 220
Grove City, OH 43123
Phone (614) 782-3668
Interoperability endpoints
- https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/AFJGBD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Multi Specialty Physician Services
- Non-Pharmacy Dispensing Site
- Boca Raton, FL
- NPI 1699904169
Foot & Ankle Surgery
-
- Podiatrist
- Daytona Beach, FL
- NPI 1871456343
-
- Podiatrist
- Grove City, OH
- NPI 1922526698
Foot & Ankle Surgery
-
dba Multi-Specialty Physician Services
- Non-Pharmacy Dispensing Site
- Jupiter, FL
- NPI 1083269955
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
- NPI 1578938684
-
dba Multi-Specialty Physician Services
- Non-Pharmacy Dispensing Site
- Fort Lauderdale, FL
- NPI 1538766738
-
- Podiatrist
- Middleburg, FL
- NPI 1033559257
-
- Diagnostic Radiology Physician
- Lindenhurst, NY
- NPI 1477523413
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boynton Beach, FL
- NPI 1417952748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1033644737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7730 W BOYNTON BEACH BLVD STE 7",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334376155",
"telephone_number": "561-258-9430",
"fax_number": "561-935-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7730 W BOYNTON BEACH BLVD STE 7",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334376155",
"telephone_number": "561-258-9430",
"fax_number": "561-935-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCHAL",
"first_name": "NIKUL",
"middle_name": "MAHENDRA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-01",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00362900",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "P04590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.