NPIMap

Individual provider Active NPI

Amar Mahendrakant Panchal, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Charlotte, NC
National Provider Identifier
1740506450
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2015-01274 Issued in NC
Practice address
1918 Randolph Rd
Ste 580
Charlotte, NC 28207-1116
Phone
(704) 384-9900
NPI assigned
Apr 20, 2010
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 MT190169 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X BP10036604 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2015-01274 NC Primary
Pulmonary Disease Physician 207RP1001X 2015-01274 NC

Addresses

Primary practice location

1918 Randolph Rd
Ste 580
Charlotte, NC 28207-1116

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9900

Other names 1

  • Amar Mahendra Panchal Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address APANCHAL418682@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170131001613 NC Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0941448286 Reassigns benefits to 2 organizations
I20180201000008 NC Practitioner - Pulmonary Disease 0941448286 Reassigns benefits to 1 organization
I20190213001940 SC Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0941448286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Suite 640
Charlotte, NC 28204-3215
Phone (980) 302-6700

1918 Randolph Rd
Suite 580
Charlotte, NC 28207-1116
Phone (704) 384-9900

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT190169PAMDInternal Medicine Physician
BP10036604TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Internal Medicine CurrentSince Jan 17, 2022 Accepting new patients
The Presbyterian Hospital CurrentSince Jun 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2017 Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jan 1, 2018 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Critical Care Medicine CurrentSince Feb 1, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jan 17, 2022 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

11840 Southmore Dr
Ste 201
Charlotte, NC 28277
Phone (704) 316-9001

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Ste 430
Charlotte, NC 28204
Phone (980) 302-6300

125 Queens Rd
Ste 640
Charlotte, NC 28204
Phone (980) 302-6761

1918 Randolph Rd
Ste 580
Charlotte, NC 28207
Phone (704) 333-9113

201 Queens Rd
Charlotte, NC 28204
Phone (704) 316-5285

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

10030 Gilead Rd
Ste 300
Huntersville, NC 28078
Phone (704) 384-7972

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

1450 Matthews Township Pkwy
Ste 380
Matthews, NC 28105
Phone (704) 264-3500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1740506450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-9900",
            "fax_number": "704-384-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "STE 580",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071116",
            "telephone_number": "704-384-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "AMAR",
        "middle_name": "MAHENDRAKANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT190169",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "BP10036604",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2015-01274",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2015-01274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "APANCHAL418682@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "1918 Randolph Rd",
            "address_2": "Ste 580",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMAR",
            "last_name": "PANCHAL",
            "middle_name": "MAHENDRA",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.