DR. PARTH PANCHOLI MD
NPI 1194284125
Internal Medicine - Critical Care Medicine in Glen Cove, NY
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
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Parth Pancholi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- 255 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore University Hospital
Acute Care Hospitals · Manhasset, NYNorthwell Hospital Glen Cove
Acute Care Hospitals · Glen Cove, NYLong Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYPhysician 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.
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.
GLEN COVE, NY 11542
GLEN COVE, NY 11542
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.
Which organizations bill Medicare for Parth Pancholi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Parth Pancholi reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and John T. Mather Memorial Hospital (Port Jefferson, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Parth Pancholi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Parth Pancholi affiliated with any hospitals?
According to CMS data, Parth Pancholi is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove and Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Parth Pancholi was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Dr. Parth Pancholi, MD · NPI 1194284125
Critical Care Medicine physician in Glen Cove, New York. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1194284125 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 311103 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 SAINT ANDREWS LN, Glen Cove, NY 11542-2254
- **Phone:** (516) 674-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); John T. Mather Memorial Hospital (NPI 1467249334, Port Jefferson, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194284125) · Data from the CMS NPPES public registry.