DR. PARTH PANCHOLI MD
NPI 1194284125
Internal Medicine - Critical Care Medicine in Glen Cove, NY

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
101 SAINT ANDREWS LN, GLEN COVE, NY 11542(516) 674-7300 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2025, Mar 19, 2019 (2 updates tracked since 2019).

About Dr. Parth Pancholi Md NPPES

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

DR. PARTH PANCHOLI MD (NPI 1194284125) is an individual critical care medicine provider in Glen Cove, New York, licensed in New York (311103) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2019).

NPPES Registry Identity

NPI1194284125
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. PARTH PANCHOLICredential: MD
Location Address101 SAINT ANDREWS LNGlen Cove, NY 11542-2254
Mailing Address111 E 210th StBronx, NY 10467-2401
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1194284125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NY · 311103
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 311103 (NY)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 311103 (NY)
101 SAINT ANDREWS LN, Glen Cove, NY 11542

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. Parth Pancholi 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 ID5092220327
PECOS Enrollment IDI20250715002816
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.

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

Nurse Practitioner (Family)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Pharmacist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Emergency Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Hospitalist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Internal Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Radiology (Diagnostic Radiology)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542

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 Parth Pancholi's NPI number?

The NPI number for Parth Pancholi is 1194284125. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Parth Pancholi located?

Parth Pancholi practices at 101 Saint Andrews Ln, Glen Cove, NY 11542. The listed phone number is (516) 674-7300.

What is Parth Pancholi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Parth Pancholi enrolled in Medicare?

Yes. Parth Pancholi 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 Parth Pancholi affiliated with any hospitals?

According to CMS data, Parth Pancholi is affiliated with North Shore University Hospital and Northwell Hospital Glen Cove.

When was this NPI record last updated?

The NPPES record for Parth Pancholi was last updated on June 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.