Active NPI
Kunal Pankaj Jani, M.D.
- Diagnostic Radiology Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME118740
- Practice address
- 527 N Palo Alto Ave
Panama City, FL 32401-3639 - Phone
- (850) 747-4905
- Fax
- (850) 747-4907
- NPI assigned
- May 30, 2008
- Last updated
- Jul 24, 2024
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 48173 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | ME118740 | FL | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME118740 | FL |
Addresses
Primary practice location
527 N Palo Alto Ave
Panama City, FL 32401-3639
Mailing address
PO Box 1770
Panama City, FL 32402-1770
Phone (850) 747-4905
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003294848A | Medicaid | GA | |
| 14U1J | Other | FL | BCBS FL |
| 010846800 | Medicaid | FL | |
| Q003772 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- 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
- Diagnostic Radiology
- Education
- Mayo Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 2ND St S
Unit B
Jacksonville, FL 32250-6791
Phone (423) 778-7234
3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (423) 778-7234
4451 Bayou Blvd
Pensacola, FL 32503-2601
Phone (850) 475-4620
801 E 6TH St
Panama City, FL 32401-3661
Phone (850) 770-3030
Hospital & facility affiliations
- Ascension Sacred Heart Gulf
- Erlanger Medical Center
- Ascension Sacred Heart Bay
- Erlanger Murphy Medical Center
- HCA Florida Gulf Coast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.97 of 100
- Quality
- 85.9
- Improvement activities
- 40
- Cost
- 72.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48173 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Interventional and Imaging Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Destin Regional Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Destin Regional Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
801 E 6th St
Panama City, FL 32401
Phone (850) 747-6018
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250
3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600
3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939
975 E 3rd St
#376
Chattanooga, TN 37403
Phone (423) 778-6216
975 E 3rd St
Ste 376
Chattanooga, TN 37403
Interoperability endpoints
- kunal.jani.1@9582.direct.athenahealth.com
Organizations & group practices 7
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.
-
dba Ascension Medical Group Sacred Heart Sub Specialists
- Neurological Surgery Physician
- Pensacola, FL
- NPI 1902857352
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Diagnostic Radiology Physician
- Chattanooga, TN
- NPI 1043632433
FL, NC
-
- Diagnostic Radiology Physician
- Miramar Beach, FL
- NPI 1134116726
-
dba Ascension Rx 1411
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
dba Ascension Medical Group Sacred Heart
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
-
- Diagnostic Radiology Physician
- Watersound, FL
- NPI 1538807656
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
dba Ascension Sacred Heart Bay
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
-
dba Erlanger Murphy Medical Center
- Critical Access Hospital
- Murphy, NC
- NPI 1801831102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1669630216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1770",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324021770",
"telephone_number": "850-747-4905",
"fax_number": "850-747-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 N PALO ALTO AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013639",
"telephone_number": "850-747-4905",
"fax_number": "850-747-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANI",
"first_name": "KUNAL",
"middle_name": "PANKAJ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "48173",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME118740",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME118740",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003294848A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "14U1J",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010846800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q003772",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.
- 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.