Individual provider Active NPI

Reena S Banka, M D

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1457347940
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD036151L Issued in PA
Practice address
2101 Brighton St
Philadelphia, PA 19149-1802
Phone
(215) 333-6611
Fax
(215) 333-1820
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD036151L PA Primary
Neurology Physician 2084N0400X MD036151L PA

Addresses

Primary practice location

2101 Brighton St
Philadelphia, PA 19149-1802

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD036151LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
TPS IV of PA., LLC Past Accepting new patients
Vidya S. Banka M.D. Associates PC Past Accepting new patients

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457347940",
    "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": "215-333-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BRIGHTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491802",
            "telephone_number": "215-333-6611",
            "fax_number": "215-333-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKA",
        "first_name": "REENA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD036151L",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD036151L",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2025; 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.