Active NPI
Kaetan Vyas, MD
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MT220452
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-2000
- NPI assigned
- Jun 24, 2020
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT220452 | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
1605 Kater St
Philadelphia, PA 19146-1537
Phone (267) 346-9015
Other practice location 1
1605 Kater St
Philadelphia, PA 19146-1537
Phone (267) 346-9015
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kaetan.Vyas@tuhs.temple.edu | Temple University Health System |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775
800 Spruce St FL 1 Pine W
Hospital Medicine Pah
Philadelphia, PA 19107-6130
Phone (215) 829-7817
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Care Associates of the University of Pennsylvania Health | Internal Medicine | Current | Accepting new patients |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| The Pennsylvania Hospital of the University of Pennsylvania Health Sys | Past | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health Syst | Internal Medicine | Past | Accepting new patients |
| Trustees of the University of Pennsylvania | Internal Medicine | Past | Accepting new patients |
Locations
700 Spruce St
Ste 304
Philadelphia, PA 19106
Phone (215) 829-3521
800 Spruce St
#1W
Philadelphia, PA 19107
Phone (215) 829-7817
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
800 Spruce St
#1
William Penn Annex West, PA 19107
Phone (215) 829-2222
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Interoperability endpoints
- kaetan.vyas@tuhs.temple.edu
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Radnor, PA
- NPI 1972682995
-
- Psychologist
- West Chester, PA
- NPI 1649940107
-
- Hospitalist Physician
- Bala Cynwyd, PA
- NPI 1790737468
Internal Medicine
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1124882949
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bala Cynwyd, PA
- NPI 1992746366
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1740806850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 KATER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461537",
"telephone_number": "267-346-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-2000"
}
],
"practiceLocations": [
{
"address_1": "1605 Kater St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191461537",
"country_code": "US",
"telephone_number": "267-346-9015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VYAS",
"first_name": "KAETAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-24",
"last_updated": "2023-11-27",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT220452",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kaetan.Vyas@tuhs.temple.edu",
"affiliation": "Y",
"affiliationName": "Temple University Health System",
"address_1": "3401 N Broad St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191405103",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.