Individual provider Active NPI

Prakash Panchani, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Round Rock, TX
National Provider Identifier
1487067138
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2252 Issued in TX
Practice address
2681 Gattis School Rd Ste 220
Round Rock, TX 78664-2058
Phone
(512) 843-0770
Fax
(512) 843-0648
NPI assigned
Jun 10, 2014
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2252 TX Primary

Addresses

Primary practice location

2681 Gattis School Rd Ste 220
Round Rock, TX 78664-2058

Mailing address

2681 Gattis School Rd Ste 220
Round Rock, TX 78664-2058
Phone (512) 843-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170712001061 TX Practitioner - Podiatry 9133409964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2681 Gattis School Rd
Suite 220
Round Rock, TX 78664-2058
Phone (512) 843-0770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions12
Removal of nail tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Varni Foot and Ankle Care, PLLC CurrentSince Jun 26, 2019 Accepting new patients
North Austin Foot & Ankle Institute PLLC Foot & Ankle Surgery PastSince Mar 5, 2023 Accepting new patients

Locations

2681 Gattis School Rd
Ste 220
Round Rock, TX 78664
Phone (512) 843-0770

2851 Joe Dimaggio Blvd
Ste 8
Round Rock, TX 78665
Phone (512) 843-0770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8494/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1487067138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 GATTIS SCHOOL RD STE 220",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642058",
            "telephone_number": "512-843-0770",
            "fax_number": "512-843-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 GATTIS SCHOOL RD STE 220",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642058",
            "telephone_number": "512-843-0770",
            "fax_number": "512-843-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHANI",
        "first_name": "PRAKASH",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.