SAMIR B PANCHOLY LLC
NPI 1942350087
Internal Medicine - Cardiovascular Disease in Olyphant, PA

Active since January 11, 2007
286 MAIN ST, OLYPHANT, PA 18447(570) 876-6140 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samir B Pancholy Llc NPPES

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

SAMIR B PANCHOLY LLC (NPI 1942350087) is a healthcare organization registered as a cardiovascular disease in Olyphant, Pennsylvania and active in the NPI registry since January 2007. The organization lists Samir B Pancholy, Owner, as its authorized official.

NPPES Registry Identity

NPI1942350087
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSAMIR B PANCHOLY LLC
Location Address286 MAIN STOlyphant, PA 18447-2317
Mailing Address286 Main StOlyphant, PA 18447-2317 · (570) 876-6140 · Fax (570) 872-7776
Organization SubpartNo
Authorized OfficialSamir B PancholyOwner · (570) 876-6140
Enumeration DateJanuary 11, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1942350087 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 PA · MD045919L
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 Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD045919L (PA)
286 MAIN ST, Olyphant, PA 18447

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samir B Pancholy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Samir B Pancholy LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Cardiovascular Disease (Cardiology)
NPI 1437346889
401 N STATE ST
Clarks Summit, PA 18411
(570) 587-7817
✔ PECOS✔ Accepts Medicare6.5 mi
Cardiovascular Disease (Cardiology)
NPI 1609846674
401 N STATE ST
Clarks Summit, PA 18411
(570) 587-7817
✔ PECOS✔ Accepts Medicare6.5 mi
Cardiovascular Disease (Cardiology)
NPI 1407851835
746 JEFFERSON AVE STE 305
Scranton, PA 18510
(570) 342-1776
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1689008880
1020 W LACKAWANNA AVE
Scranton, PA 18504
(570) 904-6000
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1609939271
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
(570) 820-6020
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Samir B Pancholy LLC's NPI number?

The NPI number for Samir B Pancholy LLC is 1942350087. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Samir B Pancholy LLC located?

Samir B Pancholy LLC is located at 286 Main St, Olyphant, PA 18447. The listed phone number is (570) 876-6140.

What is Samir B Pancholy LLC's specialty?

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

Is Samir B Pancholy LLC enrolled in Medicare?

Yes. Samir B Pancholy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samir B Pancholy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Samir B Pancholy LLC. A 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 the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (3) and Nurse Practitioner (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samir B Pancholy LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.