RISHI JAY PANCHAL D.O.
NPI 1568757987
Internal Medicine - Cardiovascular Disease in Royal Palm Beach, FL

Active since June 14, 2011PECOS Enrolled
56.44/100
CMS Quality Rating
11917 SOUTHERN BLVD, STE 400, ROYAL PALM BEACH, FL 33411(561) 210-9495(561) 210-9475 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2023, Nov 16, 2020, Jun 13, 2018 and 1 more (4 updates tracked since 2017).

About Rishi Jay Panchal D.o. NPPES

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

RISHI JAY PANCHAL D.O. (NPI 1568757987) is an individual cardiovascular disease provider in Royal Palm Beach, Florida, licensed in Florida (OS12203) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Palms West Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2011).

NPPES Registry Identity

NPI1568757987
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRISHI JAY PANCHALCredential: D.O.
Location Address11917 SOUTHERN BLVD, STE 400Royal Palm Beach, FL 33411
Mailing Address11917 Southern Blvd, Ste 400Royal Palm Beach, FL 33411 · (561) 210-9495 · Fax (561) 210-9475
Fax(561) 210-9475
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2011
Enumeration DateJune 14, 2011
Last NPPES UpdateFebruary 6, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1568757987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in FL · OS12203
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS12203 (FL)
11917 SOUTHERN BLVD, Royal Palm Beach, FL 33411

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rishi Jay Panchal D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365671559
PECOS Enrollment IDI20180724002586
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.

Areas of Expertise CMS Part B claims 41

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
6,300 services93 patients
Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
4,260 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
713 services279 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
271 services121 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
230 services147 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
196 services180 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100269
Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County
Emergency services Birthing friendly

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100275
Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County
Emergency services Birthing friendly

Hendry Regional Medical Center

Critical Access Hospitals · Clewiston, FL
OwnershipVoluntary non-profit - Other
CMS Certification Number101309
Location524 W Sagamore AveClewiston, FL 33440 · Hendry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33411 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

56.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality36.89
Improvement Activities20
Cost68.66

Reported Quality Measures

Controlling High Blood Pressure
70%500 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%215 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
75%1,586 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 55% · 1,141 patients
Patients screened: 60% · 1,141 patients
1%1,141 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
8%1,568 patients1/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Medically Fragile Infants and Children Day Care)
11917 SOUTHERN BLVD, SUITE A
ROYAL PALM BEACH, FL 33411
Internal Medicine (Cardiovascular Disease)
11917 SOUTHERN BLVD, STE 400
ROYAL PALM BEACH, FL 33411

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 Rishi Panchal's NPI number?

The NPI number for Rishi Panchal is 1568757987. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Rishi Panchal located?

Rishi Panchal practices at 11917 Southern Blvd Ste 400, Royal Palm Beach, FL 33411. The listed phone number is (561) 210-9495.

What is Rishi Panchal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rishi Panchal enrolled in Medicare?

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

What insurance does Rishi Panchal accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Rishi 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 Rishi Panchal affiliated with any hospitals?

According to CMS data, Rishi Panchal is affiliated with Hca Florida Palms West Hospital, Wellington Regional Medical Center and Hendry Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rishi Panchal was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.