VANIL BHADRESH PANDYA MD
NPI 1205312279
Psychiatry & Neurology - Vascular Neurology in Edison, NJ

Active since July 12, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2026, Apr 7, 2026, Apr 2, 2026 and 6 more (9 updates tracked since 2018).

About Vanil Bhadresh Pandya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANIL BHADRESH PANDYA MD (NPI 1205312279) is an individual vascular neurology provider in Edison, New Jersey, licensed in New Jersey (25MA12917600) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1205312279
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameVANIL BHADRESH PANDYACredential: MD
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address262 Morning Glory DrMonroe, NJ 08831-5340 · (908) 421-1893
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 12, 2018
Last NPPES UpdateApril 24, 20269 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1205312279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
License Licensed in NJ · 25MA12917600
Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 111025 (GA), MD70090514 (WA), MD229005 (OR), 25MA12917600 (NJ)
65 JAMES ST, Edison, NJ 08820

Secondary Practice Locations 4

Location 1262 Morning Glory DrMonroe, NJ 08831-5340 · Phone (908) 421-1893
Location 299 Beauvoir AveSummit, NJ 07901-3533 · Phone (908) 522-5545 · Fax (908) 522-6147
Location 319300 SW 65th AveTualatin, OR 97062-7706 · Phone (503) 413-6166
Location 41000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-1000 · Fax (678) 312-3282

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vanil Bhadresh Pandya Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880049436
PECOS Enrollment IDI20260317001220
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services37 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
40 services40 patients
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509
A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
65 JAMES ST
EDISON, NJ 08820
Pediatrics
65 JAMES ST
EDISON, NJ 08820
Psychiatry & Neurology (Neurology)
65 JAMES ST
EDISON, NJ 08820
Psychiatry & Neurology (Neurology)
65 JAMES ST
EDISON, NJ 08820
Psychiatry & Neurology (Neurology)
65 JAMES ST
EDISON, NJ 08820
Neurological Surgery
65 JAMES ST
EDISON, NJ 08820
Psychiatry & Neurology (Neurology)
65 JAMES ST
EDISON, NJ 08820
Pediatrics
65 JAMES ST
EDISON, NJ 08820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanil Pandya's NPI number?

The NPI number for Vanil Pandya is 1205312279. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Vanil Pandya located?

Vanil Pandya practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7000.

What is Vanil Pandya's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Vanil Pandya enrolled in Medicare?

Yes. Vanil Pandya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Vanil Pandya affiliated with any hospitals?

According to CMS data, Vanil Pandya is affiliated with Overlook Medical Center and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Vanil Pandya was last updated on April 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.