NPIMap

Individual provider Active NPI

Vishal Datta, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Collegeville, PA
National Provider Identifier
1982654489
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD417796 Issued in PA
Practice address
100 Market St Ste 300
Collegeville, PA 19426-4927
Phone
(215) 997-9441
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MD417796 PA Primary

Addresses

Primary practice location

100 Market St Ste 300
Collegeville, PA 19426-4927

Mailing address

100 Market St
Ste 300
Collegeville, PA 19426-4927
Phone (215) 997-9441

Other identifiers 1

IdentifierTypeStateIssuer
410988101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181213002959 PA Practitioner - Endocrinology 4880678556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Maryland School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

100 Market St
Suite 300
Collegeville, PA 19426-4927
Phone (484) 622-6400

Hospital & facility affiliations

  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224447NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Fornance Physician Services, Inc. Single Specialty CurrentSince Dec 1, 2018 Accepting new patients
Einstein Practice Plan Inc Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Einstein Practice Plan Inc Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc Single Specialty Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
South Brooklyn Health Center Single Specialty Past Accepting new patients
Fornance Physician Services, Inc. Past Accepting new patients

Locations

100 Market St
Ste 300
Collegeville, PA 19426
Phone (484) 622-6400

210 Mall Blvd
Ste G03
King of Prussia, PA 19406
Phone (610) 233-3699

15 W Wood St
Ste 301
Norristown, PA 19401
Phone (610) 275-5958

1330 Powell St
Ste 308
Norristown, PA 19401
Phone (484) 622-7371

5401 Old York Rd
Ste 331
Philadelphia, PA 19141
Phone (215) 456-6948

Organizations & group practices 9

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 3

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1982654489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARKET ST",
            "address_2": "STE 300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264927",
            "telephone_number": "215-997-9441",
            "fax_number": "215-997-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARKET ST STE 300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264927",
            "telephone_number": "215-997-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "VISHAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD417796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410988101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.