PANKAJ WATAL (M.D.) – Pediatric Radiology Physician, NPI 1700261500
Pediatric Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
222 DIAGNOSTIC RADIOLOGY in DE
Provider Addresses for PANKAJ WATAL (M.D.)
10140 CENTURION PARKWAY N
FL PROVIDER ENROLLMENT
JACKSONVILLE, FL 322560532
Phone: (904) 697-4100
Fax: (904) 697-5102
Type: Mailing
1600 Rockland Rd
Wilmington, DE 198033607
Phone: (302) 651-4200
Type: Location
101 Applied Bank Blvd Ste 11
Glen Mills, PA 193423501
Phone: (484) 800-8630
Fax: (484) 800-8635
Type: Location
1280 Almonesson Rd
Deptford, NJ 080965502
Phone: (856) 345-1403
Fax: (856) 805-9370
Type: Location
807 Childrens Way
Jacksonville, FL 322078426
Phone: (904) 697-3600
Fax: (904) 697-3927
Type: Location
200 Hawkins Dr
dept. of radiology
Iowa City, IA 522421009
Phone: (319) 467-5463
Fax: (319) 356-2220
Type: Location
6535 NEMOURS PKWY
ORLANDO, FL 328277884
Phone: (407) 567-4000
Fax: (407) 567-5924
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190807002260 | I | Diagnostic Radiology | NJ | TBD |
| I20231116000757 | I | Diagnostic Radiology | WV | TBD |
| I20250729002633 | I | Diagnostic Radiology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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