Individual provider Active NPI

Vandana Tejas Shah, AGPCNP

  • Nurse Practitioner
  • Bensalem, PA
National Provider Identifier
1053136853
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP030690 Issued in PA
Practice address
112 Casey LN
Bensalem, PA 19020-3968
Phone
(732) 372-1449
NPI assigned
Nov 18, 2024
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP030690 PA Primary
Primary Care Nurse Practitioner 363LP2300X SP030690 PA

Addresses

Primary practice location

112 Casey LN
Bensalem, PA 19020-3968

Mailing address

112 Casey LN
Bensalem, PA 19020-3968
Phone (732) 372-1449

Other practice location 1

1203 Langhorne Newtown Rd Ste 226
Langhorne, PA 19047-1224
Phone (215) 710-4460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219001751 PA Practitioner - Nurse Practitioner 1153841226 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2000

1203 Langhorne Newtown Rd
Suite 120
Langhorne, PA 19047-1211
Phone (267) 364-9100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Oct 22, 2025 Accepting new patients
Omega Physicians LLC CurrentSince Jun 1, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 17, 2025 Accepting new patients
Galen Inpatient Physicians PC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Oct 22, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 17, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients

Locations

103 Old Marlton Pike
Ste 124
Medford, NJ 08055
Phone (856) 387-0500

1203 Langhorne Newtown Rd
Ste 120
Langhorne, PA 19047
Phone (267) 364-9100

1203 Langhorne Newtown Rd
Ste 226
Langhorne, PA 19047
Phone (215) 710-4460

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

3396 Miller St
Ste A
Philadelphia, PA 19134
Phone (856) 387-0500

Interoperability endpoints

  • Direct secure messaging: vshah2013036@direct.trinity-health.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1053136853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CASEY LN",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203968",
            "telephone_number": "732-372-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CASEY LN",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203968",
            "telephone_number": "732-372-1449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Langhorne Newtown Rd Ste 226",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471224",
            "country_code": "US",
            "telephone_number": "215-710-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VANDANA",
        "middle_name": "TEJAS",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030690",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP030690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.