KAMAL A CHANTAL (PA-C) – Physician Assistant, NPI 1104817568

KAMAL A CHANTAL (PA-C) is a healthcare provider. based in Manitowoc, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110002238 (VA). The NPI Number for KAMAL A CHANTAL (PA-C) is 1104817568

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
KAMAL A CHANTAL (PA-C)
NPI
1104817568
Phone
(920) 663-9008
Address
801 YORK ST
Enumeration Date
3 November 2005
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8042626060
Graduation Year
2004 (22 years ago)
PAC ID
2365419926
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20060322000673
Address ID
VA230592623GL5201XDRXX402

Contacts

Secure Messaging
Kamal.Chantal@forefrontdermatology.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

4,429 PHYSICIAN ASSISTANT in VA

Loading map...

Provider Addresses for KAMAL A CHANTAL (PA-C)

  • 801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 101, Candlewood Court, Lynchburg, Lynchburg (city), Virginia, 24502, United States

    LYNCHBURG, VA 245022654

    Phone: (434) 363-4190

    Fax: (434) 363-4191

    Type: Location

  • 300 E 3rd St

    Farmville, VA 239011510

    Phone: (434) 607-4599

    Fax: (434) 363-4191

    Type: Location

  • 278 Westlake Rd

    Hardy, VA 241013967

    Phone: (540) 759-7500

    Fax: (540) 759-7501

    Type: Location

  • 1380 AMERICAN WAY UNIT D

    BEDFORD, VA 245232940

    Phone: (540) 583-7114

    Fax: (540) 583-7112

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 155 Open Payments records for all available years, with a total value of $2,965.

Total Amount is formed as General ($2,965) + Research ($0) + Ownership ($0) = $2,965.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($576).

Total Amount

$2,965

General + Research + Ownership

Payments

155

Total payment records

General Amount

$2,965

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2006-03-22

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
I20060322000673IPhysician AssistantVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,163234$0
99213Established patient office or other outpatient visit, 20-29 minutes897712$0
17000Destruction of precancer skin growth, 1 growth394335$0
17110Destruction of skin growth, 1-14 growths355302$0
99212Established patient office or other outpatient visit, 10-19 minutes263223$0
View full utilization report →

Insurance plans in this area (ZIP 54220)

Loading plans...

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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows KAMAL A CHANTAL (PA-C) across health systems?
The NPI 1104817568 uniquely identifies KAMAL A CHANTAL (PA-C) in U.S. healthcare data.
Does the public listing show KAMAL A CHANTAL (PA-C) as active?
KAMAL A CHANTAL (PA-C)'s NPI record reflects an active status in NPPES.
What services align with KAMAL A CHANTAL (PA-C)'s listing?
KAMAL A CHANTAL (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to KAMAL A CHANTAL (PA-C)?
KAMAL A CHANTAL (PA-C) shows a connection to Manitowoc, Wisconsin in registry-derived data.
Who maintains KAMAL A CHANTAL (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

MARIE EMMA KRESSE (PA-C)

Physician Assistant
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
NPI: 1841298858

GLORIA J THIELKING (MPAS)

Physician Assistant
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
NPI: 1053310656

ERIN E ARMSTRONG (PAC)

Physician Assistant
200 Rock Creek Pkwy
NPI: 1679573943

MR. GREGORY A SHARP (PA)

Physician Assistant
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
NPI: 1639179898
110 Chase Way Ste 2
NPI: 1548262090

MRS. MARI E. JANKO (PA)

Physician Assistant
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
NPI: 1760475628

CHRISTINE BENIGAR (PA-C)

Physician Assistant
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
NPI: 1427043330

CASONDRA A BANKS (PA-C)

Medical Physician Assistant
540 Fontaine St
NPI: 1679562136
715 Superior Rd Ste 120
NPI: 1780675603