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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: August 02, 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
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Medicare Participation & PECOS CMS

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

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.

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.

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 7 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.