Pravin M Panchal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A066826 Issued in CA

Practice address

9670 Magnolia Ave
Ste 201
Riverside, CA 92503-3684

Phone

(951) 333-3662

Fax

(951) 352-3161

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Destiny Home Health Agency, Inc Home health agency, Moreno Valley, CA, CCN 058263
• Carelife Hospice Inc Hospice, Riverside, CA, CCN A11542
• Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327
• Extended Care Hospital of Riverside Nursing home, Riverside, CA, CCN 056162

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

82.6

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Carelife Hospice, Inc.

  • Community Based Hospice Care Agency
  • Fresno, CA
  • NPI 1679068217

  Contracted Managing Employee

  CMS ownership
• F & B Healthcare

  • Skilled Nursing Facility
  • Riverside, CA
  • NPI 1902902828

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• People'S Care Home Health Inc

  • Home Health Agency
  • Chino Hills, CA
  • NPI 1205932605

  Contracted Managing Employee

  CMS ownership

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.

• JRP Medical Group Inc

  • Gastroenterology Physician
  • Riverside, CA
  • NPI 1629396353

  Internal Medicine

  Medicare reassignment NPD
• Provident Hospitalist Associates, a Professional Medical Corporation

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1083998173
  NPD (past)
• Riverside Healthcare System, L.P.

  • Rehabilitation Hospital Unit
  • Riverside, CA
  • NPI 1053358010
  NPD (past)

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

• Carelife Hospice, Inc.

  • Community Based Hospice Care Agency
  • Fresno, CA
  • NPI 1679068217
  Care Compare affiliation
• Destiny Home Health Agency Inc

  • Home Health Agency
  • Moreno Valley, CA
  • NPI 1750484085
  Care Compare affiliation
• F & B Healthcare

  • Skilled Nursing Facility
  • Riverside, CA
  • NPI 1902902828

  Nursing home

  Care Compare affiliation
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  Care Compare affiliation

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1992799530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 MAGNOLIA AVE STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033684",
            "telephone_number": "951-352-7400",
            "fax_number": "951-352-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 MAGNOLIA AVE",
            "address_2": "STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033684",
            "telephone_number": "951-333-3662",
            "fax_number": "951-352-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "PRAVIN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A066826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pravinpanchal@jrpmedical.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9670 MAGNOLIA AVE",
            "address_2": "STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925033684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mackenzie Ruth Pam, APCC
• Pamela Lambert PA-C, Inc.
• Mackenzie Riley Joi Pamilton-Evans
• Elvira C Pan, LCSW
• Ashini Panchal, MD
• Veronica Beverly Panchoo, FNP
• Lauren Nicole Pancucci
• Dipika Pandit, M.D.
• Devan Sanjay Pandya
• Neel Pandya, M.D.

• Internal Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.