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DR. AJAY N PANCHAL M.D.
NPI 1053573444
Surgery in Williamsville, NY

Active since June 27, 2008PECOS EnrolledAccepts Medicare Assignment
6044 MAIN ST STE 110, WILLIAMSVILLE, NY 14221(716) 833-7112 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ajay N Panchal M.d. NPPES

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

DR. AJAY N PANCHAL M.D. (NPI 1053573444) is an individual surgery provider in Williamsville, New York, licensed in New York (267266) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of State University Of New York At Buffalo School Of Medicine (2008).

NPPES Registry Identity

NPI1053573444
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. AJAY N PANCHALCredential: M.D.
Location Address6044 MAIN ST STE 110Williamsville, NY 14221-6883
Mailing Address20 Hidden Pines CtEast Amherst, NY 14051-1688 · (716) 689-6388
Phone(716) 833-7112
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2008
Enumeration DateJune 27, 2008
Last NPPES UpdateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1053573444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 267266
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6044 MAIN ST STE 110, Williamsville, NY 14221
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Other Identifiers 1

Medicaid03723104NY

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

Dr. Ajay N Panchal M.d. 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 ID648404806
PECOS Enrollment IDI20131002000302
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 7

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.

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.
41 services41 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
37 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 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.
20 services20 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
15 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

KATIE KONESKY M.D.
Surgery
6044 MAIN ST STE 110
WILLIAMSVILLE, NY 14221
Erie County (716) 833-7112

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 Ajay Panchal's NPI number?

The NPI number for Ajay Panchal is 1053573444. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Ajay Panchal located?

Ajay Panchal practices at 6044 Main St Ste 110, Williamsville, NY 14221. The listed phone number is (716) 833-7112.

What is Ajay Panchal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ajay Panchal enrolled in Medicare?

Yes. Ajay Panchal 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.

Is Ajay Panchal affiliated with any hospitals?

According to CMS data, Ajay Panchal is affiliated with Kaleida Health and Kenmore Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Panchal was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.