Individual provider Active NPI

Vipul R Panchal, MD

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1992741706
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
37828 Issued in KY
Practice address
6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3372
Phone
(502) 891-8300
Fax
(502) 891-8338
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 37828 KY
Cardiovascular Disease Physician 207RC0000X 37828 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3372

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 10

IdentifierTypeStateIssuer
000000293982OtherKYANTHEM PIN
2209313000OtherKYPASSPORT ADVANTAGE PIN
50031168OtherKYPASSPORT- CTS
64064785MedicaidKY
200423290AMedicaidIN
000057080OOtherKYHUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
200423290FMedicaidIN
P00893031OtherKYRAILROAD MEDICARE- CTS
000000693044OtherKYANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
50000940OtherKYPASSPORT PIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vpanchal12622@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20090721000241 KY Practitioner - Internal Medicine 8022160183 Reassigns benefits to 1 organization
I20200219001163 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Radiology 8022160183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

150 Franfort Rd
Shelbyville, KY 40065-7401

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

2051 Clevidence Blvd
Suite a
Clarksville, IN 47129-2278
Phone (812) 282-1720

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 893-1270

4915 Norton Healthcare Blvd
Louisville, KY 40241-2861

4915 Norton Healthcare Blvd
Suite 103
Louisville, KY 40241-2832
Phone (502) 446-6635

4955 Norton Healthcare Blvd
FL 2
Louisville, KY 40241-2832
Phone (502) 394-6350

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3373
Phone (502) 891-8300

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Spring View Hospital Hospital, Lebanon, KY, CCN 180024
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37828KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Cardiovascular Disease CurrentSince Jan 5, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Norton Hospitals Inc Cardiovascular Disease Past Accepting new patients

Locations (25 of 32)

25 W Main St
Austin, IN 47102
Phone (812) 252-9020

2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720

1263 Hospital Dr NW
Ste 210
Corydon, IN 47112
Phone (502) 636-7242

207 Sparks Ave
Ste 101
Jeffersonville, IN 47130
Phone (812) 280-7063

630 Broadway St
Ste 1A
Madison, IN 47250
Phone (502) 629-2935

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

279 Kings Daughters Dr
Ste 204
Frankfort, KY 40601
Phone (502) 875-9885

207 Fairgrounds Rd
Hardinsburg, KY 40143
Phone (270) 580-2256

325 W Walnut St
Lebanon, KY 40033
Phone (270) 699-9500

312 W High St
Lebanon, KY 40033
Phone (270) 692-0110

912 Wallace Ave
Ste 104
Leitchfield, KY 42754
Phone (270) 287-0001

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

10216 Taylorsville Rd
Ste 400
Louisville, KY 40299
Phone (502) 267-5456

4915 Norton Healthcare Blvd
Ste 202
Louisville, KY 40241

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

2400 Eastpoint Pkwy
Ste 560
Louisville, KY 40223
Phone (502) 210-6610

9880 Angies Way
Ste 410
Louisville, KY 40241
Phone (502) 394-6511

210 E Gray St
Ste 1002
Louisville, KY 40202
Phone (502) 584-2027

2355 Poplar Level Rd
Ste 200
Louisville, KY 40217
Phone (502) 365-2655

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 and National Provider Directory roles.

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1992741706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-891-8300",
            "fax_number": "502-891-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "VIPUL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "37828",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "37828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000293982",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE PIN",
            "identifier": "2209313000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- CTS",
            "identifier": "50031168",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64064785",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423290A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "000057080O",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423290F",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- CTS",
            "identifier": "P00893031",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "000000693044",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT PIN",
            "identifier": "50000940",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpanchal12622@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy",
            "address_2": "SUITE 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy",
            "address_2": "SUITE 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.