MR. VISHAL R PANCHAL (M.D.) – Family Medicine Physician, NPI 1720662000

MR. VISHAL R PANCHAL (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME165915 (FL). The NPI Number for MR. VISHAL R PANCHAL (M.D.) is 1720662000

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. VISHAL R PANCHAL (M.D.)
NPI
1720662000
Phone
(313) 387-1097
Address
6071 W Outer Dr
Enumeration Date
12 May 2021
Last Update Date
26 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273750848
Graduation Year
2004 (22 years ago)
PAC ID
4486051265
Group Practice PAC ID
6103900931
Professional Enrollment ID
I20240315001673
Address ID
FL346551811TR3535XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for MR. VISHAL R PANCHAL (M.D.)

  • 6071 W Outer Dr

    Detroit, MI 48235

    Phone: (313) 387-1097

    Type: Location

  • 6071 W OUTER DR

    DETROIT, MI 48235

    Phone: (313) 387-1097

    Type: Location

  • 3535 LITTLE RD

    TRINITY, FL 346551811

    Phone: (727) 375-0848

    Fax: (727) 375-5548

    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: 2024-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240315001673IFamily PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 48235)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103900931View full group profile
NameSpecialtyState
Family PracticeFL
Internal MedicineFL
Internal MedicineFL
Family PracticeFL
Internal MedicineFL
-NJ

Reviews

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Frequently asked questions

How is MR. VISHAL R PANCHAL (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MR. VISHAL R PANCHAL (M.D.) with NPI 1720662000.
Is MR. VISHAL R PANCHAL (M.D.) still practicing?
MR. VISHAL R PANCHAL (M.D.) is currently listed as active in the public NPI registry.
What is MR. VISHAL R PANCHAL (M.D.)'s specialty?
The listing groups MR. VISHAL R PANCHAL (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MR. VISHAL R PANCHAL (M.D.) list a practice location?
Patients near Detroit, Michigan may find MR. VISHAL R PANCHAL (M.D.) in results; validate coverage separately.
Is the information about MR. VISHAL R PANCHAL (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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