Individual provider Active NPI

Neeraj J. Panchal, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1407808454
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A83142 Issued in CA
Practice address
8745 Aero Dr
Suite 200
San Diego, CA 92123-1761
Phone
(858) 565-0950
Fax
(858) 565-2863
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A83142 CA Primary

Addresses

Primary practice location

8745 Aero Dr
Suite 200
San Diego, CA 92123-1761

Mailing address

PO Box 23540
San Diego, CA 92193-3540
Phone (858) 565-0950

Other identifiers 9

IdentifierTypeStateIssuer
GR0083812MedicaidCA
GR0083817MedicaidCA
GR0083815MedicaidCA
ZZZ75341ZMedicaidCA
GR0083810MedicaidCA
GR0083811MedicaidCA
GR0083814MedicaidCA
GR0083816MedicaidCA
GR0083813MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070119000484 CA Practitioner - Diagnostic Radiology 0547261471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Diego Diagnostic Radiology Medical Group IncGroup PAC ID 0143134353, 47 clinicians
San Diego Imaging-Chula Vista LLCGroup PAC ID 5496641813, 43 clinicians

Practice addresses (Care Compare)

250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-3721

3075 Health Ctr Dr
San Diego, CA 92123-2773
Phone (858) 939-5100

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 482-3639

765 Medical Ctr CT
Chula Vista, CA 91911-6600
Phone (619) 397-6577

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3600

7910 Frost St
Suite 100
San Diego, CA 92123-2776
Phone (858) 634-5900

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Merit-based Incentive Payment System (MIPS)

Final score
98.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.17

Merit-based Incentive Payment System (MIPS)

Final score
90.08 of 100Reported as group
Quality
82.75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A83142CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2007 Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology Current Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Current Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2007 Accepting new patients
San Diego Imaging, LLC CurrentSince Mar 1, 2023 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Past Accepting new patients
Regents of the University of California Diagnostic Radiology Past Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

765 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 397-6577

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

765 Medical Center Ct
Ste 101
Chula Vista, CA 91911

3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

3075 Health Center Dr
San Diego, CA 92123
Phone (858) 637-7888

7910 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 634-5900

8745 Aero Dr
Ste 200
San Diego, CA 92123

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1407808454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23540",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921933540",
            "telephone_number": "858-565-0950",
            "fax_number": "858-565-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 AERO DR",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231761",
            "telephone_number": "858-565-0950",
            "fax_number": "858-565-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "NEERAJ",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A83142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083812",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083817",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083815",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75341Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083810",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083811",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083814",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083816",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083813",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.