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HEMANT K PANCHAL M.D.
NPI 1306885496
Pediatrics - Adolescent Medicine in Enfield, CT

Active since June 05, 2006PECOS EnrolledCLIA 07D0892631 · Waiver
170 HAZARD AVE, ENFIELD, CT 06082(860) 749-2022 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 7, 2024, Jan 10, 2023, Feb 19, 2019 (3 updates tracked since 2019).

About Hemant K Panchal M.d. NPPES

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

HEMANT K PANCHAL M.D. (NPI 1306885496) is an individual adolescent medicine provider in Enfield, Connecticut, licensed in Massachusetts (78368) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 3, 2028, and is a graduate of University Of Connecticut School Of Medicine (1992).

NPPES Registry Identity

NPI1306885496
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameHEMANT K PANCHALCredential: M.D.
Location Address170 HAZARD AVEEnfield, CT 06082-4520
Mailing Address170 Hazard AveEnfield, CT 06082-4520 · (860) 749-2022 · Fax (860) 763-1398
Phone(860) 749-2022
Sole ProprietorYes
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1992
Enumeration DateJune 5, 2006
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1306885496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MA · 78368
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 032413 (CT)
170 HAZARD AVE, Enfield, CT 06082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hemant K Panchal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224501895
PECOS Enrollment IDI20260625000126
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 Reassignment

Medicare enrollment records show Hemant Panchal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hemant K. Panchal, MD, PC.
Same address
Pediatrics
170 HAZARD AVE
Enfield, CT 06082
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1821668427 (860) 749-2022

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0892631

Hemant K Panchal, MD Pediatric And Adolescent Health Services · Enfield, CT
Active · expires Oct 3, 2028
CLIA Number07D0892631
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2026
Certificate Expiration DateOctober 3, 2028
Laboratory DirectorHemant K. Panchal, MD
Laboratory Phone(860) 749-2022
Laboratory LocationHemant K Panchal, MD Pediatric And Adolescent Health Services170 Hazard Avenue, Enfield, CT 06082
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MADELINE MURPHY PA
Physician Assistant
170 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 749-2022
GEORGE BACALL MD
Obstetrics & Gynecology
170 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 763-4001
VIRGINIA SUSAN FERLAN M.D.
Obstetrics & Gynecology
170 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 763-4001
DR. THOMAS BAIRD FITZGERALD D.O.
Obstetrics & Gynecology
170 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 763-4001
CARLA DESANTIS MD
Obstetrics & Gynecology
170 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 763-4001
LAUREN ELIZABETH PELLEGRINI
Physician Assistant
170 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 749-2022
JILL MCGARRY CNM
Advanced Practice Midwife
170 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 763-4001
DR. SHANNON CONLEY PETERSON D.O.
Obstetrics & Gynecology
170 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 763-4001

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 Hemant Panchal's NPI number?

The NPI number for Hemant Panchal is 1306885496. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Hemant Panchal located?

Hemant Panchal practices at 170 Hazard Ave, Enfield, CT 06082. The listed phone number is (860) 749-2022.

What is Hemant Panchal's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Hemant Panchal enrolled in Medicare?

Yes. Hemant Panchal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hemant Panchal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hemant Panchal reassigns Medicare benefits to Hemant K. Panchal, MD, PC. (Enfield, CT). The 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 Hemant Panchal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Hemant Panchal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0892631) is associated with this NPI, valid through October 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hemant Panchal accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Hemant 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.

When was this NPI record last updated?

The NPPES record for Hemant Panchal was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.