Individual provider Active NPI

Chirag Panchal, DO

  • Family Medicine Physician
  • Longwood, FL
National Provider Identifier
1437654407
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS17544 Issued in FL
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

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221209000216 TN Practitioner - Family Practice 1951651868
I20230721003482 FL Practitioner - Family Practice 1951651868 Reassigns benefits to 1 organization

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
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

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

LicenseStateTypeSpecialty
OS17544FLMDFamily Medicine Physician
4532TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince Sep 1, 2023 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.

Hospital & facility affiliations 5

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": "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

Sources for this page

Verify at the official NPI Registry.