NEIL PANCHAL D.O
NPI 1467710756
Emergency Medicine in New London, CT

Active since April 25, 2012PECOS EnrolledAccepts Medicare Assignment
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2023, Sep 29, 2021, Jan 29, 2021 and 1 more (4 updates tracked since 2020).

About Neil Panchal D.o NPPES

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

NEIL PANCHAL D.O (NPI 1467710756) is an individual emergency medicine provider in New London, Connecticut, licensed in New Jersey (25MB09637600) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1467710756
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNEIL PANCHALCredential: D.O
Location Address365 MONTAUK AVENew London, CT 06320-4769
Mailing Address365 Montauk AveNew London, CT 06320-4769 · (860) 442-0711
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 25, 2012
Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1467710756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MB09637600✔ Licensed in WV · 3392✔ Licensed in CT · 64974
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
365 MONTAUK AVE, New London, CT 06320

Secondary Practice Locations 3

Location 199 Beauvoir AveSummit, NJ 07901-3533 · Phone (908) 522-2000
Location 2231 Washington StHoboken, NJ 07030-7221 · Phone (201) 854-1006
Location 3800 Wheeling AveGlen Dale, WV 26038-1660 · Phone (304) 845-3211

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

Neil Panchal D.o 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 ID2668792441
PECOS Enrollment IDI20150519000542
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

14

Medicare enrollment records show Neil Panchal reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
365 MONTAUK AVENUE
New London, CT 06320
  • Reassigned Medicare billing, Connecticut enrollment
  • 65 clinicians in this Medicare group
General Acute Care Hospital
5 PERRYRIDGE RD
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 268 clinicians in this Medicare group
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
Emergency Medical Services
703 MAIN ST, EMERGENCY DEPARTMENT
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 88 clinicians in this Medicare group
Emergency Medicine
111 CENTRAL AVE
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 67 clinicians in this Medicare group
Hospitalist
300 CENTRAL AVE
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
Emergency Medicine
99 BEAUVOIR AVE
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 436 clinicians in this Medicare group
Emergency Medicine
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 156 clinicians in this Medicare group
Emergency Medicine
1200 PARK AVE
Plainfield, NJ 07060
  • Reassigned Medicare billing, New Jersey enrollment
  • 103 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
155 services154 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
46 services46 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Pharmacist (Pharmacotherapy)
365 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320

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 Neil Panchal's NPI number?

The NPI number for Neil Panchal is 1467710756. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Neil Panchal located?

Neil Panchal practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Neil Panchal's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Neil Panchal enrolled in Medicare?

Yes. Neil 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 Neil Panchal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neil Panchal reassigns Medicare benefits to 14 organizations: Lawrence And Memorial Hospital, Inc. (New London, CT), Greenwich Hospital (Greenwich, CT), St. Joseph's Healthcare, Inc. (Paterson, NJ), St. Joseph's Emergency Physicians Inc (Paterson, NJ), Nes Georgia Inc (Newark, NJ) and 9 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 Neil Panchal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neil Panchal accept?

Health plans from Oscar Health list Neil 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 Neil Panchal was last updated on November 9, 2023. 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.