PANKAJ P DANGLE MD
NPI 1255560595
Urology - Pediatric Urology in Saint Louis, MO

Q: What is Pankaj Dangle's NPI number?

The NPI number for Pankaj Dangle is 1255560595. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Q: What is Pankaj Dangle's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Pankaj Dangle was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since July 08, 2009PECOS Enrolled

3536 VISTA AVE, SAINT LOUIS, MO 63104(314) 577-8317(314) 268-5466 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Pankaj P Dangle Md NPPES

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

PANKAJ P DANGLE MD (NPI 1255560595) is an individual pediatric urology provider in Saint Louis, Missouri, licensed in Alabama (35045) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1255560595

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NamePANKAJ P DANGLECredential: MD

Location Address3536 VISTA AVESaint Louis, MO 63104-1006

Mailing Address500 22nd St S, Apartment -aBirmingham, AL 35233-3110 · (314) 932-5179

Phone(314) 577-8317

Fax(314) 268-5466

Sole ProprietorNo

Enumeration DateJuly 8, 2009

Last NPPES UpdateMarch 6, 2025

NPPES CertifiedMarch 6, 2025

✔ NPI 1255560595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Licenses✔ Licensed in AL · 35045✔ Licensed in IN · 01086725A

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Also ListedUrologyTaxonomy 208800000X · License 01086725A (IN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2009017783 (MO)

3536 VISTA AVE, Saint Louis, MO 63104

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Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Other000001615180IN · Anthem Ptan

Medicaid300056424IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pankaj P Dangle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Pankaj Dangle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group Riley Specialists, LLC

232 mi

Pediatrics

705 RILEY HOSPITAL DR
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
523 clinicians in this Medicare group

NPI 1699561480 (317) 944-5000

University Urologists, Inc., PC

232 mi

Urology

535 BARNHILL DR STE 420
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
55 clinicians in this Medicare group

NPI 1104877141 (317) 278-1979

Iu Health Medical Group, LLC

233 mi

General Practice

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
5,212 clinicians in this Medicare group

NPI 1326893777 (317) 962-2000

University Of Alabama Health Services Foundation, PC

396 mi

Clinical Medical Laboratory

720 20TH STREET SOUTH
Birmingham, AL 35294

Reassigned Medicare billing, Alabama enrollment
4,494 clinicians in this Medicare group

NPI 1366638330 (205) 934-4983

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. NAILA A AHMAD M.D.

Anesthesiology

3536 VISTA AVE
SAINT LOUIS, MO 63104

St. Louis City (314) 577-8750

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 Pankaj Dangle's NPI number?

The NPI number for Pankaj Dangle is 1255560595. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Pankaj Dangle located?

Pankaj Dangle practices at 3536 Vista Ave, Saint Louis, MO 63104. The listed phone number is (314) 577-8317.

What is Pankaj Dangle's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Pankaj Dangle enrolled in Medicare?

Yes. Pankaj Dangle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pankaj Dangle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pankaj Dangle reassigns Medicare benefits to 4 organizations: Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN), University Urologists, Inc., PC (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). 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 Pankaj Dangle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pankaj Dangle 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 Pankaj Dangle 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.

When was this NPI record last updated?

The NPPES record for Pankaj Dangle was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.