NPIMap

Organization Active NPI

Vascular Medicine Center

  • Internal Medicine Physician
  • King of Prussia, PA
National Provider Identifier
1013145408
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD039894L Issued in PA
Legal business name
VASCULAR MEDICINE CENTER
Practice address
170 N Henderson Rd
Suite 302
King of Prussia, PA 19406-2155
Phone
(610) 265-8700
Fax
(610) 265-1868
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mehul N Shah, M.D.NPI 1174529101
Title
President
Phone
(610) 265-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD039894L PA Primary

Addresses

Primary practice location

170 N Henderson Rd
Suite 302
King of Prussia, PA 19406-2155

Mailing address

170 N Henderson Rd
Suite 302
King of Prussia, PA 19406-2155
Phone (610) 265-8700

Other identifiers 6

IdentifierTypeStateIssuer
1000720OtherPAKEYSTONE MERCY
4319575OtherPAAETNA PPO
455736/52859OtherPAAETNA HMO
0531867000/028516000OtherPERSONAL CHOICE
0531867000OtherPAKEYSTONE
468245OtherBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

170 N Henderson Rd
Ste 302
Kng of Prussa, PA 19406
Phone (610) 265-8700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1013145408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD",
            "address_2": "SUITE 302",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "610-265-8700",
            "fax_number": "610-265-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD",
            "address_2": "SUITE 302",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "610-265-8700",
            "fax_number": "610-265-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-265-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD039894L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "1000720",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4319575",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "455736/52859",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0531867000/028516000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0531867000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "468245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.