Active NPI
Chirag Panchal, DO
- Family Medicine Physician
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS17544
- Practice address
- 550 E State Road 434
Longwood, FL 32750-5222 - Phone
- (407) 381-7367
- Fax
- (407) 331-6758
- NPI assigned
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05216 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | OS17544 | FL | Primary |
Addresses
Primary practice location
550 E State Road 434
Longwood, FL 32750-5222
Mailing address
550 E State Road 434
Longwood, FL 32750-5222
Phone (407) 381-7367
Other practice location 1
1707 N Main St
Gainesville, FL 32609-3650
Phone (352) 265-9592
Other practice location 2
535 Wellington Way Ste 330
Lexington, KY 40503-1331
Phone (859) 439-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 E State Rd
Suite 434
Longwood, FL 32750-5222
Phone (407) 381-7367
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS17544 | FL | MD | Family Medicine Physician |
| 4532 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| Openloop Healthcare Partners California PC | Past | Accepting new patients | |
| Openloop Healthcare Partners PC | Past | Accepting new patients |
Locations
550 E State Road 434
Longwood, FL 32750
Phone (407) 262-5710
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
Family Medicine
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1437654407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505222",
"telephone_number": "407-381-7367",
"fax_number": "407-331-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505222",
"telephone_number": "407-381-7367",
"fax_number": "407-331-6758"
}
],
"practiceLocations": [
{
"address_1": "1707 N Main St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326093650",
"country_code": "US",
"telephone_number": "352-265-9592",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 Wellington Way Ste 330",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405031331",
"country_code": "US",
"telephone_number": "859-439-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANCHAL",
"first_name": "CHIRAG",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "05216",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS17544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
- P.H.I.T. Performance Health & Integrative Training
- Pacor,Inc. (the cornerstone at longwood)
- Nika Catherine Palceski, MA,CCC-SLP
- Katie Palmquist, M.A.
- Maryanne Palumbo, LMT
- Denise Panuccio, M.D.
- Brian Vincenzo Panzeri
- Romina Patricia Papadopulos, MA
- Victor David Pareja, CRNA
- Mariana Dias Parente, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.