DR. DHRUV PANCHAL M.D.
NPI 1417214693
Hospitalist in Lakeland, FL

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1321(863) 603-6534 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2024, Oct 9, 2024, Jul 8, 2020 (3 updates tracked since 2020).

About Dr. Dhruv Panchal M.d. NPPES

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

DR. DHRUV PANCHAL M.D. (NPI 1417214693) is an individual hospitalist provider in Lakeland, Florida, licensed in Louisiana (336206) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1417214693
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DHRUV PANCHALCredential: M.D.
Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543
Mailing Address2995 Drew StClearwater, FL 33759-3012 · (727) 315-7496
Fax(863) 603-6534
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 12, 2012
Last NPPES UpdateDecember 23, 20243 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1417214693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in LA · 336206✔ Licensed in FL · ME123930
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME123930 (FL)
1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

Secondary Practice Location 1

Location 1309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543

Accepted Insurance

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. Dhruv 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 ID3072827930
PECOS Enrollment IDI20150811004176, I20230321000182, I20231101002290, I20231229001945, I20250109001813, I20260324004392
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

23

Medicare enrollment records show Dhruv Panchal reassigns Medicare billing to 23 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
Hospitalist
21644 STATE ROAD 7
Boca Raton, FL 33428
  • Reassigned Medicare billing, Florida enrollment
  • 516 clinicians in this Medicare group
Internal Medicine
4725 N FEDERAL HWY
Fort Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 197 clinicians in this Medicare group
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Florida enrollment
  • 118 clinicians in this Medicare group
Hospitalist
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 529 clinicians in this Medicare group
Hospitalist
2500 BELLE CHASSE HWY
Terrytown, LA 70056
  • Reassigned Medicare billing, Louisiana enrollment
  • 417 clinicians in this Medicare group
Internal Medicine
2460 CURTIS ELLIS DR
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 393 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 4

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 moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
268 services259 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services28 patients
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.
32 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$12.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$63.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Pulmonary Disease)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Student in an Organized Health Care Education/Training Program
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Practitioner
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Nurse Practitioner (Family)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Pharmacist
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805

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 Dhruv Panchal's NPI number?

The NPI number for Dhruv Panchal is 1417214693. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Dhruv Panchal located?

Dhruv Panchal practices at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 687-1321.

What is Dhruv Panchal's specialty?

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

Is Dhruv Panchal enrolled in Medicare?

Yes. Dhruv 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 Dhruv Panchal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhruv Panchal reassigns Medicare benefits to 23 organizations: Lakeland Regional Health Systems, Inc. (Lakeland, FL), Baycare Medical Group, Inc. (Clearwater, FL), Florida Hospital Medicine Services, LLC. (Boca Raton, FL), Sound Physicians Of Florida Vi LLC (Fort Lauderdale, FL), Cogent Healthcare Of Georgia PC (Macon, GA) and 18 more organizations, listed in the Medicare section above. 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 Dhruv Panchal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhruv Panchal accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and CareSource and 5 other insurers list Dhruv 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.

Is Dhruv Panchal affiliated with any hospitals?

According to CMS data, Dhruv Panchal is affiliated with Flagler Hospital, Unc Health Nash and Texoma Medical Center.

When was this NPI record last updated?

The NPPES record for Dhruv Panchal was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.