Dr Ajay Pancholy, MD - Medicare Diagnostic Radiology in El Segundo, CA

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Dr Ajay Pancholy, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in El Segundo, California. He went to Emory University School Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Diagnostic Centers Of America, Llp, Tower Imaging Llc, Intercoastal Medical Group Inc, Mori Bean And Brooks Inc and his current practice location is 2330 Utah Ave, El Segundo, California. You can reach out to his office (for appointments etc.) via phone at (424) 290-8004.

Dr Ajay Pancholy is licensed to practice in Florida (license number ME89899) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144289539.

Contact Information

Dr Ajay Pancholy, MD
2330 Utah Ave,
El Segundo, CA 90245-4817
(424) 290-8004
Not Available

Map and Direction




Physician's Profile

Full NameDr Ajay Pancholy
GenderMale
SpecialityDiagnostic Radiology
Experience27 Years
Location2330 Utah Ave, El Segundo, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ajay Pancholy attended and graduated from Emory University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1144289539
  • Provider Enumeration Date: 03/22/2006
  • Last Update Date: 01/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062472384
  • Enrollment ID: I20050709000002

Medical Identifiers

Medical identifiers for Dr Ajay Pancholy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144289539NPI-NPPES
118717MedicaidAL
271833200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology ME89899 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology ME89899 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tampa General HospitalTampa, FLHospital
Sarasota Memorial HospitalSarasota, FLHospital
Sacred Heart HospitalPensacola, FLHospital
Ascension Sacred Heart BayPanama city, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Diagnostic Centers Of America, Llp054717412086
Tower Imaging Llc286047007792
Intercoastal Medical Group Inc6305730912166
Mori Bean And Brooks Inc8820077878617

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ajay Pancholy allows following entities to bill medicare on his behalf.
Entity NameUniversity Medical Service Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992742324
PECOS PAC ID: 6800790221
Enrollment ID: O20031126000130
Entity NameWomens Care Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013902923
PECOS PAC ID: 9234031444
Enrollment ID: O20040127000078
Entity NameNorth Brevard Medical Support Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609834886
PECOS PAC ID: 7618870296
Enrollment ID: O20040130000385
Entity NameMedical Technology Transfer Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104947217
PECOS PAC ID: 1658265079
Enrollment ID: O20040209000360
Entity NameIntercoastal Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578537767
PECOS PAC ID: 6305730912
Enrollment ID: O20040212000600
Entity NameTower Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467654244
PECOS PAC ID: 2860470077
Enrollment ID: O20040713000446
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20040714001317
Entity NameGastro Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487767133
PECOS PAC ID: 2365440567
Enrollment ID: O20061127000011
Entity NameDiagnostic Centers Of America, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730125261
PECOS PAC ID: 0547174120
Enrollment ID: O20080223000067
Entity NameConnecticut Imaging Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740315761
PECOS PAC ID: 4183649098
Enrollment ID: O20220629000366
Entity NameJefferson Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396795951
PECOS PAC ID: 8729982525
Enrollment ID: O20220630001457
Entity NameFarmington Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275987802
PECOS PAC ID: 7719265651
Enrollment ID: O20250124000044
Entity NameTic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457702813
PECOS PAC ID: 4880972819
Enrollment ID: O20250321001297

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ajay Pancholy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ajay Pancholy, MD
2330 Utah Ave,
El Segundo, CA 90245-4817

Ph: (424) 290-8004		Dr Ajay Pancholy, MD
2330 Utah Ave,
El Segundo, CA 90245-4817

Ph: (424) 290-8004

Reviews and Comments


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Dr. Katie Jo Lester, MD
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Phone: 281-766-0959    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.