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NEERAJ H. PANCHAL DDS
NPI 1922237981
Oral & Maxillofacial Surgery in Philadelphia, PA

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD., 4TH FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104(215) 662-3580 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Neeraj H. Panchal Dds NPPES

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

NEERAJ H. PANCHAL DDS (NPI 1922237981) is an individual oral & maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD455881) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1922237981
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameNEERAJ H. PANCHALCredential: DDS
Location Address3400 CIVIC CENTER BLVD., 4TH FLOOR, SOUTH PAVILIONPhiladelphia, PA 19104
Mailing Address3400 Civic Center Blvd., 4th Floor, South PavilionPhiladelphia, PA 19104 · (215) 662-3580
Phone(215) 662-3580
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 10, 2009
Last NPPES UpdateSeptember 26, 2019
✔ NPI 1922237981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in PA · MD455881✔ Licensed in PA · DS040426
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
3400 CIVIC CENTER BLVD., Philadelphia, PA 19104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Neeraj H. Panchal Dds 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 ID749594349
PECOS Enrollment IDI20150727001443
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
110 services85 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

MONA AL MUKADDAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BLVD., WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
KATALIN SUSZTAK MD
Internal Medicine (Nephrology)
3400 CIVIC CENTER BLVD., 1ST FLOOR, SUITE 300 S
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2638
ILDIKO CSIKI MD
Radiology (Diagnostic Ultrasound)
3400 CIVIC CENTER BLVD., RAD ONC/TRC 2 WEST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
BRIAN CURRAN CAPELL MD
Dermatology
3400 CIVIC CENTER BLVD., 1-330S PERELMAN CENTER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2737
DR. ALEXANDER LIN MD
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD., CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2428
RENYU LIU MD
Anesthesiology
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
KRISTEN N KOBALY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BLVD., WEST PAVILION 4TH FL, SUITE 4-900 W
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2300
KAITLIN ELIZABETH CIOTOLI CRNP
Nurse Practitioner (Women's Health)
3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310

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 Neeraj Panchal's NPI number?

The NPI number for Neeraj Panchal is 1922237981. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Neeraj Panchal located?

Neeraj Panchal practices at 3400 Civic Center Blvd. 4th Floor, South Pavilion, Philadelphia, PA 19104. The listed phone number is (215) 662-3580.

What is Neeraj Panchal's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Neeraj Panchal enrolled in Medicare?

Yes. Neeraj 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.

What insurance does Neeraj Panchal accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Neeraj 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 Neeraj Panchal affiliated with any hospitals?

According to CMS data, Neeraj Panchal is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Neeraj Panchal was last updated on September 26, 2019. 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.