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DR. SUJAL V PANCHAL M.D.
NPI 1629174024
Pediatrics in New Lenox, IL

Active since September 15, 2006PECOS Enrolled
100 BATSON CT, SUITE 106, NEW LENOX, IL 60451(815) 463-9747(815) 463-9749 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sujal V Panchal M.d. NPPES

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

DR. SUJAL V PANCHAL M.D. (NPI 1629174024) is an individual pediatrics provider in New Lenox, Illinois, licensed in Michigan (4301106399) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1629174024
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUJAL V PANCHALCredential: M.D.
Location Address100 BATSON CT, SUITE 106New Lenox, IL 60451-1564
Mailing Address100 Batson Ct, Suite 106New Lenox, IL 60451-1564 · (815) 463-9747 · Fax (815) 463-9749
Phone(815) 463-9747
Fax(815) 463-9749
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1629174024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MI · 4301106399✔ Licensed in IL · 036119020✔ Licensed in CA · A82152
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 BATSON CT, New Lenox, IL 60451
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Other Names 1

Former Name (1)Sujal Fadia Md

Secondary Practice Location 1

Location 16100 N Haggerty RdCanton, MI 48187-3683 · Phone (800) 653-6568

Other Identifiers 2

Medicaid036119020IL
MedicaidHSP40248FCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sujal V Panchal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sujal Panchal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System
258 mi
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1003990318 (313) 916-2600

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 60451 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 3

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

DR. MOURICE S NEMRI M.D.
Pediatrics
100 BATSON CT, SUITE 106
NEW LENOX, IL 60451
Will County (815) 463-9747
MR. DEEPAK BAKANE
Internal Medicine
100 BATSON CT, SUITE 204
NEW LENOX, IL 60451
Will County (815) 462-1200
DEEPAK BAKANE S.C.
Internal Medicine
100 BATSON CT, SUITE 204
NEW LENOX, IL 60451
Will County (815) 462-1200

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 Sujal Panchal's NPI number?

The NPI number for Sujal Panchal is 1629174024. It was assigned to this individual provider in the NPPES registry on September 15, 2006. The provider is also known as Sujal Fadia MD.

Where is Sujal Panchal located?

Sujal Panchal practices at 100 Batson Ct Suite 106, New Lenox, IL 60451. The listed phone number is (815) 463-9747.

What is Sujal Panchal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sujal Panchal enrolled in Medicare?

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

Which organization bills Medicare for Sujal Panchal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sujal Panchal reassigns Medicare benefits to Henry Ford Health System (Detroit, MI). The 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 Sujal Panchal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sujal Panchal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Sujal 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 Sujal Panchal was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.