Individual provider

Maulik Panchal, M.D.

Hospitalist Physician Medicare enrolled

Maulik Panchal, M.D. is a Hospitalist Physician in West Reading, PA, registered under NPI 1396172748.

Getting there

The practice address on file is 420 S 5TH AVE, West Reading, PA 19611. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

420 S 5TH AVE, West Reading, PA 19611 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0101266168 VA Hospitalist Physician primary
MD456908 PA Hospitalist Physician

Licences are recorded in 2 states: VA, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Hospitalist
PAC ID
1658662929

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Pennsylvania I20160616000317 Practitioner - Hospitalist
Virginia I20190806000254 Practitioner - Hospitalist

Medicare enrolment is recorded as approved under the provider type Practitioner - Hospitalist. There are 2 separate enrolment records across 2 states (PA, VA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Pennsylvania and Virginia. The practice address on file is in West Reading, PA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

PA Pennsylvania practice address
Licence
MD456908
Specialty
Hospitalist Physician
Verify with the PA board →
VA Virginia
Licence
0101266168
Specialty
Hospitalist Physician
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Hospitalist covers

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. NUCC Health Care Provider Taxonomy, code 208M00000X
Allopathic & Osteopathic Physicians Hospitalist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208M00000X Hospitalist Physician 0101266168 VA primary
208M00000X Hospitalist Physician MD456908 PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1396172748 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 1, 2013
Last updatedJun 27, 2019
StatusActive
Sole proprietorNo
GenderMale
CredentialM.D.
Practice address 420 S 5TH AVE
West Reading, PA 19611
(484) 628-5455
Mailing address 856 J CLYDE MORRIS BLVD STE A
Newport News, VA 23601
The last update on file is Jun 27, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1396172748 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 9 6 1 7 2 7 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 2 7 4 7 8

Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1396172748?
NPI 1396172748 is the National Provider Identifier assigned to Maulik Panchal, M.D. in West Reading, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Hospitalist Physician cover?
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for…
How do I contact Maulik Panchal, M.D.?
The phone number on file with NPPES is (484) 628-5455, last updated Jun 27, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Maulik Panchal, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1396172748 a valid number?
Yes. 1396172748 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.