Individual provider Active NPI

Nikul Mahendra Panchal

  • Foot & Ankle Surgery Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1033644737
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P04590 Issued in FL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200714000415 OH Practitioner - Podiatry 4082037726 Reassigns benefits to 1 organization
I20241017004176 FL Practitioner - Podiatry 4082037726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Certified Foot and Ankle SpecialistsGroup PAC ID 7214080282, 12 clinicians

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

ProcedureNumber of procedures
Varicose vein removal47
Removal of tissue38
Removal of skin lesions1-10
Removal of nail tissue336
Removal or shaving of skin growth296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P04590FLMDFoot & Ankle Surgery Podiatrist
25MD00362900NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Physicians of Ohio, LLC Foot & Ankle Surgery CurrentSince Aug 1, 2020 Accepting new patients
PDC of Volusia LLC Current Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Oct 1, 2024 Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Oct 1, 2024 Accepting new patients
Total Foot Care and Wellness Clinic, LLC Foot & Ankle Surgery CurrentSince Oct 1, 2024 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP PastSince Aug 6, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.