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KARAN PANCHAL M.D
NPI 1447749767
Internal Medicine in Pittsburgh, PA

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment
1400 LOCUST STREET UPMC MERCY, PITTSBURGH, PA 15219(412) 232-5615 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 19, 2025, May 2, 2018 (2 updates tracked since 2018).

About Karan Panchal M.d NPPES

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

KARAN PANCHAL M.D (NPI 1447749767) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD476341) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1447749767
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKARAN PANCHALCredential: M.D
Location Address1400 LOCUST STREET UPMC MERCYPittsburgh, PA 15219
Mailing Address1400 Locust StPittsburgh, PA 15219-5114
Phone(412) 232-5615
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 2, 2018
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1447749767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD476341
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD476341 (PA)
1400 LOCUST STREET UPMC MERCY, Pittsburgh, PA 15219
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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

Karan 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 ID840549911
PECOS Enrollment IDI20220413002846
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

3

Medicare enrollment records show Karan Panchal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
0.8 mi
Internal Medicine
339 6TH AVE, 5TH FLOOR
Pittsburgh, PA 15222
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1225167497 (412) 261-8762
St Clair Professional Services Inc
5.9 mi
Critical Care Medicine
1000 BOWER HILL RD
Pittsburgh, PA 15243
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 133 clinicians in this Medicare group
NPI 1326712050 (412) 942-4000
Butler Medical Providers
23 mi
Family Medicine
217 E MAIN ST
Evans City, PA 16033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 482 clinicians in this Medicare group
NPI 1578999884 (833) 391-0659

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 5

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.

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.
152 services75 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
62 services31 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.
48 services48 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services27 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 2

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Karan Panchal's NPI number?

The NPI number for Karan Panchal is 1447749767. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Karan Panchal located?

Karan Panchal practices at 1400 Locust Street Upmc Mercy, Pittsburgh, PA 15219. The listed phone number is (412) 232-5615.

What is Karan Panchal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karan Panchal enrolled in Medicare?

Yes. Karan 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 Karan Panchal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karan Panchal reassigns Medicare benefits to 3 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), St Clair Professional Services Inc (Pittsburgh, PA) and Butler Medical Providers (Evans City, PA). 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 Karan Panchal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Karan Panchal affiliated with any hospitals?

According to CMS data, Karan Panchal is affiliated with Upmc Mercy and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karan Panchal was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.