VATSALA RAMPRASAD MD
NPI 1306936604
Pediatrics - Pediatric Pulmonology in Philadelphia, PA
About Vatsala Ramprasad Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VATSALA RAMPRASAD MD (NPI 1306936604) is an individual pediatric pulmonology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD038724L) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sewell, and is a graduate of Other (1975).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 11
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
Vatsala Ramprasad 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
4Medicare enrollment records show Vatsala Ramprasad reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
- Also billed through NPI 1972299741 (New Jersey)
- 479 clinicians in this Medicare group
Drexel Hill, PA 19026
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Somerville, NJ 08876
- Reassigned Medicare billing, New Jersey enrollment
- 641 clinicians in this Medicare group
Falling Waters, WV 25419
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: West Virginia University Medical Corporation
- 2,471 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.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Vatsala Ramprasad's NPI number?
The NPI number for Vatsala Ramprasad is 1306936604. It was assigned to this individual provider in the NPPES registry on October 15, 2006.
Where is Vatsala Ramprasad located?
Vatsala Ramprasad practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5085.
What is Vatsala Ramprasad's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is Vatsala Ramprasad enrolled in Medicare?
Yes. Vatsala Ramprasad 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 Vatsala Ramprasad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vatsala Ramprasad reassigns Medicare benefits to 4 organizations: Stc Pediatrics LLC (Philadelphia, PA), Prospect Health Access Network, Inc. (Drexel Hill, PA), Rutgers Health-Rwj Scleroderma Program (Somerville, NJ) and Spring Mills Medical Center (Falling Waters, WV). 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 Vatsala Ramprasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vatsala Ramprasad accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Vatsala Ramprasad 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.
When was this NPI record last updated?
The NPPES record for Vatsala Ramprasad was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Vatsala Ramprasad, MD · NPI 1306936604
Pediatric Pulmonology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 15, 2006.
## Identity
- **NPI:** 1306936604 (Entity type: Individual)
- **Enumerated:** October 15, 2006
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** MD038724L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (215) 427-5085
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Stc Pediatrics LLC (NPI 1346884574, Philadelphia, PA); Prospect Health Access Network, Inc. (NPI 1255786729, Drexel Hill, PA); Rutgers Health-Rwj Scleroderma Program (NPI 1750453346, Somerville, NJ); Spring Mills Medical Center (NPI 1235489931, Falling Waters, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1975
## Record status
- **NPPES last updated:** April 7, 2023
- **Other identifiers:** Other 3K5981 (NJ); Other 4266442 (NJ); Other 0766874000 (NJ); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1306936604) · Data from the CMS NPPES public registry.