Organization Active NPI

Vidya S. Banka M.D. Associates PC

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1255352472
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
VIDYA S. BANKA M.D. ASSOCIATES PC
Practice address
301 S 8TH St
Duncan BLDG. Suite 2B
Philadelphia, PA 19106-4000
Phone
(215) 829-6369
Fax
(215) 829-6427
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Mrs. Denise Branigan
Title
Billing Coordinator
Phone
(215) 333-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

301 S 8TH St
Duncan BLDG. Suite 2B
Philadelphia, PA 19106-4000

Mailing address

2101 Brighton St
Philadelphia, PA 19149-1802
Phone (215) 333-6611

Other identifiers 3

IdentifierTypeStateIssuer
0495507000OtherPAKHPE
0012587680003MedicaidPA
29277OtherPAHEALTH PARTNERS

National Provider Directory

National Provider Directory

Locations

301 S 8th St
Ste 2B
Philadelphia, PA 19106
Phone (215) 829-6369

100 E Lehigh Ave
Ste 306A
Philadelphia, PA 19125
Phone (215) 829-6369

2101 Brighton St
Philadelphia, PA 19149
Phone (215) 333-6611

Practitioners & affiliated clinicians

Practitioners 6

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1255352472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BRIGHTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491802",
            "telephone_number": "215-333-6611",
            "fax_number": "215-904-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 8TH ST",
            "address_2": "DUNCAN BLDG. SUITE 2B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064000",
            "telephone_number": "215-829-6369",
            "fax_number": "215-829-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDYA S. BANKA M.D. ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "BRANIGAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "215-333-6611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE",
            "identifier": "0495507000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012587680003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "29277",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.