DR. VIDITA VIJAY KHATRI (MD) – Neurology Physician, NPI 1588072292
Neurology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,530 NEUROLOGY in PA
Provider Addresses for DR. VIDITA VIJAY KHATRI (MD)
1501 LANSDOWNE AVE STE 210
DARBY, PA 190231333
Phone: (610) 534-6142
Type: Location
375 N Wall St Ste P510
Kankakee, IL 60901
Phone: (815) 935-0750
Fax: (815) 935-8797
Type: Location
375 N WALL ST STE P510
KANKAKEE, IL 609013492
Phone: (815) 935-0750
Fax: (815) 935-8797
Type: Mailing
60 Fenwood Rd
Boston, MA 021156128
Phone: (617) 732-7432
Type: Location
1501 LANSDOWNE AVE
STE 210
DARBY, PA 190231333
Phone: (610) 534-6142
Fax: (610) 237-3503
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2023-03-30 • Largest payer in this snapshot: ABBVIE INC. ($31).
Total Amount
$31
General + Research + Ownership
Payments
1
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $31 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190531000385 | I | Neurology | IL | TBD |
| I20210720002252 | I | Neurology | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 90 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 94 | 94 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 27 | 25 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 19023)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| G A S T R O E N T E R O L O G Y | PA | |
| H O S P I T A L I S T | PA | |
| Emergency Medicine | PA | |
| H O S P I T A L I S T | NY | |
| Infectious Disease | PA |
Reviews
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