KALPESHKUMAR KANTILAL PANCHAL MD
NPI 1063424893
Radiology - Diagnostic Radiology in Cincinnati, OH

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
234 GOODMAN STREET, DEPARTMENT OF RADIOLOGY, CINCINNATI, OH 45219(513) 584-1584(513) 584-0431 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kalpeshkumar Kantilal Panchal Md NPPES

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

KALPESHKUMAR KANTILAL PANCHAL MD (NPI 1063424893) is an individual diagnostic radiology provider in Cincinnati, Ohio, licensed in Ohio (35-091352) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Florence, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1063424893
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKALPESHKUMAR KANTILAL PANCHALCredential: MD
Location Address234 GOODMAN STREET, DEPARTMENT OF RADIOLOGYCincinnati, OH 45219
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 245-3107 · Fax (513) 585-5511
Fax(513) 584-0431
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 12, 2006
Last NPPES UpdateFebruary 20, 2018
NPI 1063424893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in OH · 35-091352
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301068846 (MI)
234 GOODMAN STREET, Cincinnati, OH 45219

Other Identifiers 3

Medicaid2946236OH
Medicaid7100162530KY
Medicaid4551319MI

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

Kalpeshkumar Kantilal Panchal Md 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 ID3072687219
PECOS Enrollment IDI20090707000071, I20250418000855
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 27

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
743 services546 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
255 services234 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
147 services144 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
102 services100 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
87 services85 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
71 services71 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number361326
Location230 Medical Center DriveSeaman, OH 45679 · Adams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Clinical Nurse Specialist
234 GOODMAN STREET
CINCINNATI, OH 45219
Radiology (Diagnostic Radiology)
234 GOODMAN STREET
CINCINNATI, OH 45219
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
234 GOODMAN STREET
CINCINNATI, OH 45219
Radiology (Diagnostic Radiology)
234 GOODMAN STREET
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
234 GOODMAN STREET
CINCINNATI, OH 45219
Internal Medicine (Interventional Cardiology)
234 GOODMAN STREET
CINCINNATI, OH 45219
Internal Medicine (Nephrology)
234 GOODMAN STREET
CINCINNATI, OH 45219
Internal Medicine
234 GOODMAN STREET
CINCINNATI, OH 45219

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 Kalpeshkumar Panchal's NPI number?

The NPI number for Kalpeshkumar Panchal is 1063424893. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Kalpeshkumar Panchal located?

Kalpeshkumar Panchal practices at 234 Goodman Street Department Of Radiology, Cincinnati, OH 45219. The listed phone number is (513) 584-1584.

What is Kalpeshkumar Panchal's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kalpeshkumar Panchal enrolled in Medicare?

Yes. Kalpeshkumar 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.

What insurance does Kalpeshkumar Panchal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Kalpeshkumar Panchal 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 Kalpeshkumar Panchal affiliated with any hospitals?

According to CMS data, Kalpeshkumar Panchal is affiliated with St Elizabeth Florence, University Of Cincinnati Medical Center, LLC, Bethesda North, West Chester Hospital and Adams County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kalpeshkumar Panchal was last updated on February 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.