Palak Pancholi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A194960 Issued in CA

Practice address

29826 Haun Rd Ste 200
Menifee, CA 92586-6547

Phone

(951) 414-4020

NPI assigned

Apr 21, 2021

Last updated

Dec 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: palak.pancholi.p79@direct.kmsm.nextgenshare.com

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.

• Seven Star Medical Group Inc.

  dba Seven Star Nephrology

  • Nephrology Physician
  • Hemet, CA
  • NPI 1710580808
  Medicare reassignment NPD
• Seven Star Medical Group Inc.

  dba Seven Star Family Care

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1346843422
  NPD
• Seven Star Medical Group Inc.

  dba Seven Star Mathias & Associates

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1427651462
  NPD

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1477135382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD STE 200",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866547",
            "telephone_number": "951-414-4020",
            "fax_number": "951-414-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD STE 200",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866547",
            "telephone_number": "951-414-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHOLI",
        "first_name": "PALAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A194960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P and R Management
• Desiree N Pabin, DPT
• Zya Pace
• Kenneth Paul Pacia, PT, DPT
• Kamaldeep Panach, M.D.
• Panther Dialysis LLC
• Elga Paquet
• Paradigm Home, LLC
• Paradise Meadows LLC
• Anushri Parikh, LMFT

• Internal Medicine Physician in Menifee, CA
• Providers in Menifee, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.