DR. MITA PANCHAL M.D.
NPI 1245526391
Hospitalist in Walnut Creek, CA

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595(925) 947-3393(925) 947-3396 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mita Panchal M.d. NPPES

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

DR. MITA PANCHAL M.D. (NPI 1245526391) is an individual hospitalist provider in Walnut Creek, California, licensed in California (A131129) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1245526391
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. MITA PANCHALCredential: M.D.
Location Address1220 ROSSMOOR PKWYWalnut Creek, CA 94595-2501
Mailing AddressDept 34929, P.o. Box 39000San Francisco, CA 94139-0001 · (925) 952-2828 · Fax (925) 952-2850
Fax(925) 947-3396
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateOctober 7, 2015
✔ NPI 1245526391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A131129
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1220 ROSSMOOR PKWY, Walnut Creek, CA 94595

Other Identifiers 2

Medicare PINCA148864CA
OtherP01497419CA · Railroad Medicare

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. Mita 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 ID1052631033
PECOS Enrollment IDI20150514000657
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mita Panchal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 810 clinicians in this Medicare group
General Practice
1450 TREAT BLVD, SUITE 300
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 650 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.

Areas of Expertise CMS Part B claims

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.

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.
122 services120 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94595 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.68
Promoting Interoperability99
Improvement Activities40
Cost70.58

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
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Family Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Internal Medicine
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595
Hospitalist
1220 ROSSMOOR PKWY
WALNUT CREEK, CA 94595

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 Mita Panchal's NPI number?

The NPI number for Mita Panchal is 1245526391. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Mita Panchal located?

Mita Panchal practices at 1220 Rossmoor Pkwy, Walnut Creek, CA 94595. The listed phone number is (925) 947-3393.

What is Mita Panchal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mita Panchal enrolled in Medicare?

Yes. Mita 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.

Which organizations bill Medicare for Mita Panchal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mita Panchal reassigns Medicare benefits to 2 organizations: John Muir Trauma Physicians Billing Service (Walnut Creek, CA) and John Muir Physician Network (Walnut Creek, CA). 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 Mita Panchal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mita Panchal was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.