PUNIT A. PANDYA D.O.
NPI 1497286561
Neurological Surgery in Milton, DE
About Punit A. Pandya D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUNIT A. PANDYA D.O. (NPI 1497286561) is an individual neurological surgery provider in Milton, Delaware, licensed in Delaware (C2-0024746) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Rowan University School Of Osteopathic Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Punit A. Pandya 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.
Medicare Billing Reassignments
3Medicare enrollment records show Punit Pandya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewes, DE 19958
- Reassigned Medicare billing, Delaware enrollment
- 382 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Delaware enrollment
Salina, KS 67401
- Reassigned Medicare billing, Kansas enrollment
- 220 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19968 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Punit Pandya's NPI number?
The NPI number for Punit Pandya is 1497286561. It was assigned to this individual provider in the NPPES registry on March 21, 2017.
Where is Punit Pandya located?
Punit Pandya practices at 23900 Milton Ellendale Hwy, Milton, DE 19968. The listed phone number is (302) 684-2033.
What is Punit Pandya's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Punit Pandya enrolled in Medicare?
Yes. Punit Pandya 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 Punit Pandya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Punit Pandya reassigns Medicare benefits to 3 organizations: Beebe Physician Network, Inc. (Lewes, DE), Methodist Associates In Healthcare, Inc (Philadelphia, PA) and Salina Regional Health Center, Inc. (Salina, KS). 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 Punit Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Punit Pandya accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Punit Pandya 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 Punit Pandya was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.