Individual provider Active NPI

Eva M Vanegas, MD.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1255909214
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD486370 Issued in PA
Practice address
3 Crescent Dr FL 2
Philadelphia, PA 19112-1016
Phone
(215) 503-7136
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD486370 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3 Crescent Dr FL 2
Philadelphia, PA 19112-1016

Mailing address

1015 Walnut St Ste 401
Philadelphia, PA 19107-5005

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (484) 622-7534

Other names 1

  • Eva Margarita Vanegas Other name

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
I20241009003905 PA Practitioner - Family Practice 5294266680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

605 N Bethlehem Pike
Ambler, PA 19002-2501
Phone (215) 646-9220

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Sep 1, 2025 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

605 N Bethlehem Pike
Lower Gwynedd, PA 19002
Phone (215) 643-2119

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

3 Crescent Dr
Fl 2
Philadelphia, PA 19112
Phone (215) 503-7096

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1255909214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WALNUT ST STE 401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CRESCENT DR FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121016",
            "telephone_number": "215-503-7136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "484-622-7534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANEGAS",
        "first_name": "EVA",
        "middle_name": "M",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD486370",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "VANEGAS",
            "middle_name": "MARGARITA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.