NPIMap

Individual provider Active NPI

Jayanti J. Panchal, M.D.

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1164458758
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME65371 Issued in FL
Practice address
2654 SW 32ND PL
100
Ocala, FL 34471-7847
Phone
(352) 854-7444
Fax
(352) 873-6647
NPI assigned
Jun 24, 2006
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME65371 FL Primary

Addresses

Primary practice location

2654 SW 32ND PL
100
Ocala, FL 34471-7847

Mailing address

2654 SW 32ND PL
Suite 100
Ocala, FL 34471-7847
Phone (352) 854-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070628000015 FL Practitioner - Internal Medicine 3870542566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Jayanti Professional CorporationGroup PAC ID 4880758507, 3 clinicians
Hospitalist Medical Care LLCGroup PAC ID 5395035703, 2 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

2654 SW 32ND PL
Suite 100
Ocala, FL 34471-7847
Phone (352) 854-7444

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal71
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME65371FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Clinical Laboratory, Inc. Current Accepting new patients
Hospitalist Medical Care LLC Internal Medicine CurrentSince Sep 17, 2015 Accepting new patients
Jayanti Professional Corporation Internal Medicine CurrentSince Jul 26, 1994 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2654 SW 32nd Pl
#100
Ocala, FL 34471
Phone (352) 854-7444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGEGCA/Endpoint/DGEGCA

Organizations & group practices 5

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 8

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1164458758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2654 SW 32ND PL",
            "address_2": "SUITE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717847",
            "telephone_number": "352-854-7444",
            "fax_number": "352-873-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2654 SW 32ND PL",
            "address_2": "100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717847",
            "telephone_number": "352-854-7444",
            "fax_number": "352-873-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "JAYANTI",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME65371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.