PANKAJ WATAL M.D.
NPI 1700261500
Radiology - Pediatric Radiology in Orlando, FL

Q: What is Pankaj Watal's NPI number?

The NPI number for Pankaj Watal is 1700261500. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Q: What is Pankaj Watal's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Pankaj Watal was last updated on September 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment

6535 NEMOURS PKWY, ORLANDO, FL 32827(407) 567-4000(407) 567-5924 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2020, Jan 22, 2020, May 6, 2019 and 1 more (4 updates tracked since 2019).

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About Pankaj Watal M.d. NPPES

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

PANKAJ WATAL M.D. (NPI 1700261500) is an individual pediatric radiology provider in Orlando, Florida, licensed in Florida (ME139515) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1700261500

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NamePANKAJ WATALCredential: M.D.

Location Address6535 NEMOURS PKWYOrlando, FL 32827-7884

Mailing Address10140 Centurion Parkway N, Fl Provider EnrollmentJacksonville, FL 32256-0532 · (904) 697-4100 · Fax (904) 697-5102

Phone(407) 567-4000

Fax(407) 567-5924

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 22, 2015

Last NPPES UpdateSeptember 22, 20204 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2020

✔ NPI 1700261500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

Licenses✔ Licensed in FL · ME139515✔ Licensed in DE · C1-0013054

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License R-10175 (IA)

6535 NEMOURS PKWY, Orlando, FL 32827

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Secondary Practice Locations 5

Location 11600 Rockland RdWilmington, DE 19803-3607 · Phone (302) 651-4200

Location 2101 Applied Bank Blvd Ste 11Glen Mills, PA 19342-3501 · Phone (484) 800-8630 · Fax (484) 800-8635

Location 31280 Almonesson RdDeptford, NJ 08096-5502 · Phone (856) 345-1403 · Fax (856) 805-9370

Location 4807 Childrens WayJacksonville, FL 32207-8426 · Phone (904) 697-3600 · Fax (904) 697-3927

Location 5200 Hawkins Dr, dept. of radiologyIowa City, IA 52242-1009 · Phone (319) 467-5463 · Fax (319) 356-2220

Other Identifiers 1

Medicaid102951100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pankaj Watal 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 ID1153664685

PECOS Enrollment IDI20250729002633

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.

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

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

CRYSTAL ALEXANDRIA RILEY LCSW

Social Worker (Clinical)