Individual provider Active NPI

Ashish Pal, M.D., F.A.C.C

  • Cardiovascular Disease Physician
  • Orlando, FL
National Provider Identifier
1376588582
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME74621 Issued in FL
Practice address
1206 N Mills Ave
Orlando, FL 32803-2560
Phone
(407) 898-8449
Fax
(407) 898-8756
NPI assigned
Jun 19, 2006
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME74621 FL
Cardiovascular Disease Physician 207RC0000X ME74621 FL Primary
Interventional Cardiology Physician 207RI0011X ME74621 FL

Addresses

Primary practice location

1206 N Mills Ave
Orlando, FL 32803-2560

Mailing address

1206 N Mills Ave
Orlando, FL 32803-2560
Phone (407) 898-8449

Other practice location 1

1026 Montana St
Orlando, FL 32803-2522
Phone (407) 898-8449

Other practice location 2

4597 Casablanca Cir
Sebring, FL 33870-1206
Phone (407) 898-8449

Other practice location 3

110 Park Place Blvd
Davenport, FL 33837-6857
Phone (407) 898-8449

Other identifiers 13

IdentifierTypeStateIssuer
WMTRXOtherFLBLUE CROSS BLUE SHIELD
19851OtherFLWELLCARE
242799OtherFLAVMED
60069629OtherFLRAILROAD
1513060OtherFLWELLCARE
1015450OtherFLCAREPLUS
1095816OtherFLAMERIGROUP
7503044009OtherFLCIGNA
107503044OtherFLCIGNA
225252OtherFLHUMANA
42637OtherFLBLUE CROSS BLUE SHIELD
631717OtherFLHUMANA
10481801OtherFLTRICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000245 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 3779637855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1206 N Mills Ave
Orlando, FL 32803-2560
Phone (407) 898-8449

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal115
Leg revascularization (restoring blood flow)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME74621FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Cardiology and Vascular Consultants, P.L.C. Specialist CurrentSince Jul 24, 2001 Accepting new patients
Orlando Eye Consultants, LLC Multi-Specialty PastSince Jul 24, 2001 Accepting new patients
Quiescence Anesthesia LLC Multi-Specialty Past Accepting new patients

Locations

110 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-0104

181 Webb Dr
Ste B
Davenport, FL 33837
Phone (407) 898-8756

1026 Montana St
Orlando, FL 32803
Phone (407) 898-8449

1206 N Mills Ave
Orlando, FL 32803
Phone (407) 228-4035

615 E Princeton St
Ste 104
Orlando, FL 32803
Phone (407) 303-1575

4597 Casablanca Cir
Sebring, FL 33870
Phone (863) 236-9550

6801 US 27 N
Ste B3
Sebring, FL 33870
Phone (407) 898-8449

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1376588582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032560",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032560",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Montana St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328032522",
            "country_code": "US",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4597 Casablanca Cir",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338701206",
            "country_code": "US",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Park Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376857",
            "country_code": "US",
            "telephone_number": "407-898-8449",
            "fax_number": "407-898-8756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAL",
        "first_name": "ASHISH",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME74621",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME74621",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME74621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "WMTRX",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "19851",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "242799",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "60069629",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1513060",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1015450",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1095816",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7503044009",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "107503044",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "225252",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42637",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "631717",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "10481801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.