Active NPI
Vidya Banka, MD
- Cardiovascular Disease Physician
- Philadelphia, PA
National Provider Identifier
1588659965
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective Mar 19, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD033731L
- Practice address
- 301 S 8TH St
Ste 2B
Philadelphia, PA 19106 - Phone
- (215) 829-6369
- Fax
- (215) 829-6427
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD033731L | PA | Primary |
Addresses
Primary practice location
301 S 8TH St
Ste 2B
Philadelphia, PA 19106
Mailing address
301 S 8TH Street
Suite 2B
Philadelphia, PA 19106
Phone (215) 829-6369
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055074000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 2532 | Other | PA | BRAVO ELDER HEALTH |
| 08416 | Other | PA | HEALTH PARTNERS |
| 1140127 | Other | PA | KEYSTONE MERCY |
| 125369 | Other | PA | HIGHMARK |
| 0071596010 | Other | PA | AMERICHOICE |
| 60045243 | Other | PA | RR MEDICARE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD033731L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidya S. Banka M.D. Associates PC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1588659965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S 8TH STREET",
"address_2": "SUITE 2B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19106",
"telephone_number": "215-829-6369",
"fax_number": "215-829-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S 8TH ST",
"address_2": "STE 2B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19106",
"telephone_number": "215-829-6369",
"fax_number": "215-829-6427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKA",
"first_name": "VIDYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD033731L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0055074000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO ELDER HEALTH",
"identifier": "2532",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "08416",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1140127",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "125369",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0071596010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "60045243",
"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 Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.