Individual provider Active NPI

Hemang Bhadreshkumar Panchal, MD

  • Cardiovascular Disease Physician
  • Jupiter, FL
National Provider Identifier
1508155144
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101267202 Issued in VA
Practice address
4425 Military TRL Ste 102
Jupiter, FL 33458-4816
Phone
(561) 208-5246
Fax
(561) 245-5399
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101267202 VA
Interventional Cardiology Physician 207RI0011X 0101267202 VA
Cardiovascular Disease Physician 207RC0000X 0101267202 VA Primary
Interventional Cardiology Physician 207RI0011X ME139405 FL

Addresses

Primary practice location

4425 Military TRL Ste 102
Jupiter, FL 33458-4816

Mailing address

6231 Pga Blvd Ste 104
Palm Beach Gardens, FL 33418-4033
Phone (561) 208-5246

Other practice location 1

844 Kempsville Rd Ste 204
Norfolk, VA 23502-3927
Phone (757) 261-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NE, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190611001081 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2860725678 Reassigns benefits to 4 organizations
I20230404000738 NE Practitioner - Interventional Cardiology 2860725678 Reassigns benefits to 1 organization
I20231016003723 VA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2860725678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gold Coast Ekg Consultants LLCGroup PAC ID 2668448523, 4 clinicians

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 650-6316

4425 Military TRL
Suite 102
Jupiter, FL 33458-4816
Phone (423) 429-0130

6231 Pga Blvd
Suite 104
Palm Beach Gardens, FL 33418-4033

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101267202VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Mar 20, 2020 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Mar 20, 2020 Accepting new patients
Florida Heart Center, PA Cardiovascular Disease CurrentSince Jun 11, 2019 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Gold Coast Ekg Consultants LLC Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Apr 1, 2023 Accepting new patients
Mercy Health Physicians Kentucky LLC Cardiovascular Disease Past Accepting new patients

Locations

1900 Nebraska Ave
Ste 9
Fort Pierce, FL 34950
Phone (561) 465-4499

1801 SE Hillmoor Dr
Ste C-201
Port Saint Lucie, FL 34952
Phone (772) 337-5556

1631 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (561) 857-7777

1631 NW Saint Lucie West Blvd
Ste 102103
Port St Lucie, FL 34986

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

844 Kempsville Rd
Ste 204
Norfolk, VA 23502
Phone (757) 261-0700

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hpanchal398252@direct.stlukeshealth.org

Organizations & group practices 8

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1508155144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 PGA BLVD STE 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334184033",
            "telephone_number": "561-208-5246",
            "fax_number": "561-245-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 MILITARY TRL STE 102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584816",
            "telephone_number": "561-208-5246",
            "fax_number": "561-245-5399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "844 Kempsville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023927",
            "country_code": "US",
            "telephone_number": "757-261-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "HEMANG",
        "middle_name": "BHADRESHKUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2024-06-20",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101267202",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101267202",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101267202",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME139405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.