Individual provider Active NPI

Kunal Pankaj Jani, M.D.

  • Diagnostic Radiology Physician
  • Panama City, FL
National Provider Identifier
1669630216
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME118740 Issued in FL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003294848AMedicaidGA
14U1JOtherFLBCBS FL
010846800MedicaidFL
Q003772MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 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
I20140515000200 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0648413302 Reassigns benefits to 4 organizations
I20241126002954 NC Practitioner - Diagnostic Radiology 0648413302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Mayo Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Interventional and Imaging Associates PLLCGroup PAC ID 4688897473, 33 clinicians
Sacred Heart Health System, IncGroup PAC ID 5799763074, 19 clinicians
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
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

LicenseStateTypeSpecialty
48173TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Interventional and Imaging Associates, PLLC Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Destin Regional Imaging Center LLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Aug 20, 2023 Accepting new patients
Sacred Heart Health System Inc CurrentSince Aug 20, 2023 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Destin Regional Imaging Center LLC Diagnostic Radiology PastSince May 29, 2022 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.