VANIL BHADRESH PANDYA MD
NPI 1205312279
Psychiatry & Neurology - Vascular Neurology in Edison, NJ
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 7 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
16Medicare enrollment records show Vanil Pandya reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Staten Island, NY 10310
- Reassigned Medicare billing, New Jersey enrollment
- 8 clinicians in this Medicare group
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 1,699 clinicians in this Medicare group
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 clinicians in this Medicare group
Brownsburg, IN 46112
- Reassigned Medicare billing, Indiana enrollment
- 401 clinicians in this Medicare group
Dawsonville, GA 30534
- Reassigned Medicare billing, Georgia enrollment
- 466 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Fond Du Lac, WI 54935
- Reassigned Medicare billing, Wisconsin enrollment
- 606 clinicians in this Medicare group
Janesville, WI 53546
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1730160011 (Wisconsin)
- 35 clinicians in this Medicare group
Monroe, WI 53566
- Reassigned Medicare billing, Wisconsin enrollment
- 376 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 248 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Overlook Medical Center
Acute Care Hospitals · Summit, NJPhysician 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.
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.
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.
Which organizations bill Medicare for Vanil Pandya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vanil Pandya reassigns Medicare benefits to 16 organizations: Amboy Medical Practice PC (Staten Island, NY), Practice Associates Medical Group (Morristown, NJ), Vidant Medical Group LLC (Greenville, NC), Hendricks County Hospital (Brownsburg, IN), Northside Primary Care Professional Services, LLC (Dawsonville, GA) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vanil Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vanil Pandya accept?
Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare, Dean Health Plan, HMO Louisiana and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Vanil Pandya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Vanil Pandya affiliated with any hospitals?
According to CMS data, Vanil Pandya is affiliated with Overlook Medical Center.
When was this NPI record last updated?
The NPPES record for Vanil Pandya was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vanil Bhadresh Pandya, MD · NPI 1205312279
Vascular Neurology physician in Edison, New Jersey. Individual provider, active in the CMS NPPES registry since July 12, 2018.
## Identity
- **NPI:** 1205312279 (Entity type: Individual)
- **Enumerated:** July 12, 2018
- **Primary specialty:** Psychiatry & Neurology - Vascular Neurology · taxonomy 2084V0102X
- **State license:** 25MA12917600 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 65 JAMES ST, Edison, NJ 08820-3947
- **Phone:** (732) 321-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Amboy Medical Practice PC (NPI 1104692672, Staten Island, NY); Practice Associates Medical Group (NPI 1427016385, Morristown, NJ); Vidant Medical Group LLC (NPI 1477648731, Greenville, NC); Hendricks County Hospital (NPI 1720528904, Brownsburg, IN); Northside Primary Care Professional Services, LLC (NPI 1215369715, Dawsonville, GA); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205312279) · Data from the CMS NPPES public registry.