Active NPI
Reena S Banka, M D
- Specialist
- Philadelphia, PA
National Provider Identifier
1457347940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD036151L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD036151L | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1255352472
-
- Durable Medical Equipment & Medical Supplies
- Marlton, NJ
- NPI 1053630368
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.