1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Pediatrics
  6. NPI Profile

VIDYA BHAVANI VISWANATHAN MD
NPI 1285292631
Pediatrics in Philadelphia, PA

Active since May 31, 2019PECOS Enrolled
3401 CIVIC CENTER BLVD FL 9NW, PHILADELPHIA, PA 19104(215) 590-1220 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2025, May 31, 2019 (2 updates tracked since 2019).

About Vidya Bhavani Viswanathan Md NPPES

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

VIDYA BHAVANI VISWANATHAN MD (NPI 1285292631) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA12791900) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285292631
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameVIDYA BHAVANI VISWANATHANCredential: MD
Location Address3401 CIVIC CENTER BLVD FL 9NWPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Fl 9nwPhiladelphia, PA 19104-4319 · (516) 238-6812
Phone(215) 590-1220
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 31, 2019
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1285292631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NJ · 25MA12791900✔ Licensed in PA · MT217880
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3401 CIVIC CENTER BLVD FL 9NW, Philadelphia, PA 19104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vidya Bhavani Viswanathan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244736973
PECOS Enrollment IDI20251001004226
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vidya Viswanathan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rutgers Rwj Eric B. Chandler Health Center
53 mi
Federally Qualified Health Center (FQHC)
1000 SOMERSET ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
NPI 1538416342 (732) 235-6700
Rutgers Health-Rwj Pediatric Critical Care
54 mi
Pediatric Critical Care Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 492 clinicians in this Medicare group
NPI 1164510400 (732) 235-7900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Vidya Viswanathan's NPI number?

The NPI number for Vidya Viswanathan is 1285292631. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is Vidya Viswanathan located?

Vidya Viswanathan practices at 3401 Civic Center Blvd Fl 9nw, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.

What is Vidya Viswanathan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vidya Viswanathan enrolled in Medicare?

Yes. Vidya Viswanathan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vidya Viswanathan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vidya Viswanathan reassigns Medicare benefits to 2 organizations: Rutgers Rwj Eric B. Chandler Health Center (New Brunswick, NJ) and Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ). 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 Vidya Viswanathan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vidya Viswanathan was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.