Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VIBHU BANALA
NPI 1407485311
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Media, PA

Q: What is Vibhu Banala's NPI number?

The NPI number for Vibhu Banala is 1407485311. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Vibhu Banala's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Vibhu Banala was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 02, 2020PECOS Enrolled

5201 PENNELL RD STE C, MEDIA, PA 19063(610) 876-0347(833) 941-3871 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 27, 2026, Jun 25, 2025, Apr 2, 2020 (3 updates tracked since 2020).

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About Vibhu Banala NPPES

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

VIBHU BANALA (NPI 1407485311) is an individual adult reconstructive orthopaedic surgery provider in Media, Pennsylvania, licensed in Pennsylvania (MD495745) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Florida International Univ, College Of Medicine (2020).

NPPES Registry Identity

NPI1407485311

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameVIBHU BANALA

Location Address5201 PENNELL RD STE CMedia, PA 19063-6502

Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (623) 241-8716 · Fax (480) 499-8459

Phone(610) 876-0347

Fax(833) 941-3871

Sole ProprietorNo

Medical School CMSFlorida International Univ, College Of MedicineGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration

NPPES CertifiedAugust 27, 2026

✔ NPI 1407485311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in PA · MD495745

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A201632 (CA)

5201 PENNELL RD STE C, Media, PA 19063

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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-2060

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

Vibhu Banala 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 ID7416461579

PECOS Enrollment IDI20250709004117

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.

Other Providers at the Same Location NPPES 2

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

MR. JONATHAN BERRIDGE LAT ATC OTC

Specialist/Technologist, Other (Orthopedic Assistant)

5201 PENNELL RD STE C
MEDIA, PA 19063

Delaware County (610) 876-0347

DR. CHARLES DEWITT HUMMER III MD

Orthopaedic Surgery

5201 PENNELL RD STE C
MEDIA, PA 19063

Delaware County (610) 876-0347

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 Vibhu Banala's NPI number?

The NPI number for Vibhu Banala is 1407485311. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Vibhu Banala located?

Vibhu Banala practices at 5201 Pennell Rd Ste C, Media, PA 19063. The listed phone number is (610) 876-0347.

What is Vibhu Banala's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Vibhu Banala enrolled in Medicare?

Yes. Vibhu Banala 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.

When was this NPI record last updated?

The NPPES record for Vibhu Banala was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.