Individual provider Active NPI

Vinodrai Kalawadia, MD

  • Surgery Physician
  • North Wales, PA
National Provider Identifier
1164628855
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD038509L Issued in PA
Practice address
212 Old Church Rd
North Wales, PA 19454-2620
Phone
(215) 699-3936
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD038509L PA Primary

Addresses

Primary practice location

212 Old Church Rd
North Wales, PA 19454-2620

Mailing address

212 Old Church Rd
North Wales, PA 19454-2620
Phone (215) 699-3936

Other identifiers 2

IdentifierTypeStateIssuer
001127980 0004MedicaidPA
P00861620OtherNJRR MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100709000560 PA Practitioner - General Surgery 2860524899 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD038509LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Bucks Medical Associates, P.C. CurrentSince Nov 15, 2013 Accepting new patients
First Docs LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

445 Whitehorse Ave
Ste 101
Trenton, NJ 08610

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

1411 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-8900

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1164628855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 OLD CHURCH RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542620",
            "telephone_number": "215-699-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 OLD CHURCH RD",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542620",
            "telephone_number": "215-699-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAWADIA",
        "first_name": "VINODRAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD038509L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001127980 0004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00861620",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

Verify at the official NPI Registry.