AMIT PANWALKAR
NPI 1043426034
Internal Medicine - Hematology & Oncology in Fargo, ND

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
78.86/100
CMS Quality Rating

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amit Panwalkar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMIT PANWALKAR (NPI 1043426034) is an individual hematology & oncology provider in Fargo, North Dakota, licensed in Nebraska (23682) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Kittson Healthcare, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1043426034
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameAMIT PANWALKAR
Location Address820 4TH ST NFargo, ND 58102-4539
Mailing Address820 4th St NFargo, ND 58102-4539 · (701) 234-6161
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateMay 15, 2007
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1043426034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in NE · 23682 Licensed in ND · 10919
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

820 4TH ST N, Fargo, ND 58102

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amit Panwalkar is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698840247
PECOS Enrollment IDI20080818000279, I20090507000646
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
250 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
227 services175 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
81 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kittson Healthcare

Critical Access Hospitals · Hallock, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241336
Location1010 South Birch AvenueHallock, MN 56728 · Kittson County
Emergency services

Perham Health

Critical Access Hospitals · Perham, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241373
Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County
Emergency services

Sanford Thief River Falls Medical Center

Critical Access Hospitals · Thief River Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241381
Location3001 Sanford ParkwayThief River Falls, MN 56701 · Pennington County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number351335
Location2422 20th St SWJamestown, ND 58401 · Stutsman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.45
Promoting Interoperability99
Improvement Activities40
Cost29.78

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Genetic Counselor, MS
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Internal Medicine
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Nurse Practitioner
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amit Panwalkar's NPI number?

The NPI number for Amit Panwalkar is 1043426034. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Amit Panwalkar located?

Amit Panwalkar practices at 820 4th St N, Fargo, ND 58102. The listed phone number is (701) 234-6161.

What is Amit Panwalkar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Amit Panwalkar enrolled in Medicare?

Yes. Amit Panwalkar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amit Panwalkar accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Amit Panwalkar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amit Panwalkar affiliated with any hospitals?

According to CMS data, Amit Panwalkar is affiliated with Kittson Healthcare, Perham Health, Sanford Thief River Falls Medical Center, Sanford Medical Center Fargo and Jamestown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Amit Panwalkar was last updated on March 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.