Vanil Pandya, MD
NPI 1205312279 · Vascular Neurology Physician · Edison, NJ
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vanil Pandya, MD is a Vascular Neurology Physician provider in Edison, NJ (NPI 1205312279).
Provider details
- NPI number
- 1205312279
- Entity type
- Individual
- Primary specialty
- Vascular Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 111025 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
269 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 63 | $124 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 51 | $75 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 50 | $158 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 40 | $79 |
| Telehealth Consultation, Critical Care, Subsequent, Physicians Typically Spend 50 Minutes Communicating With the Patient and Providers Via TelehealthG0509 | 24 | $174 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 12 |
| Levetiracetam | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 1000 Medical Center BlvdLawrenceville, GA 30046-7694Phone: (678) 312-1000Fax: (678) 312-3282
- 262 Morning Glory DrMonroe, NJ 08831-5340Phone: (908) 421-1893
- 99 Beauvoir AveSummit, NJ 07901-3533Phone: (908) 522-5545Fax: (908) 522-6147
- 19300 Sw 65th AveTualatin, OR 97062-7706Phone: (503) 413-6166
Registry dates
- Enumerated
- 2018-07-12
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Frequently asked questions
- What is Vanil Pandya's NPI number?
- Vanil Pandya's National Provider Identifier (NPI) is 1205312279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vanil Pandya's specialty?
- Vanil Pandya is listed in the NPPES registry with a primary specialty of Vascular Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Vanil Pandya located?
- Vanil Pandya's practice location on file with NPPES is 65 James St, Edison, NJ 08820-3947.
- What is Vanil Pandya's phone number?
- The practice phone number listed in the NPPES registry for Vanil Pandya is (732) 321-7000.
- Does Vanil Pandya accept Medicare?
- Vanil Pandya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vanil Pandya's NPI active?
- Yes — Vanil Pandya's NPI (1205312279) is active in the NPPES registry as of the last update on 2026-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.