IRIS DICHUPA – Certified Registered Nurse Anesthetist, NPI 1417450149

IRIS DICHUPA is a healthcare provider. based in Concord, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 95000885 (CA). The NPI Number for IRIS DICHUPA is 1417450149

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
IRIS DICHUPA
NPI
1417450149
Phone
(831) 244-0111
Address
2041 EAST ST STE 1377
Enumeration Date
8 March 2018
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8317244741
Graduation Year
2017 (9 years ago)
PAC ID
0749543072
Group Practice PAC ID
0749688000
Professional Enrollment ID
I20180418002373
Address ID
CA950762468WA75XXXSTXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness95
Years active:8State licenses:1Other names

2,470 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for IRIS DICHUPA

  • 2041 EAST ST STE 1377

    CONCORD, CA 945202126

    Phone: (831) 244-0111

    Type: Mailing

  • 75 NIELSON ST

    WATSONVILLE, CA 950762468

    Phone: (831) 724-4741

    Type: Location

  • 3003 Paul Sweet Rd

    Santa Cruz, CA 950651503

    Phone: (831) 462-5512

    Type: Location

  • 640 CENTER AVE APT 113

    MARTINEZ, CA 945534656

    Phone:

    Type: Mailing

  • Kaiser Permanente Vallejo Hospital & Medical Offices, 975, Sereno Drive, Harry Floyd Terrace, Vallejo, Solano County, California, 94589, United States

    VALLEJO, CA 945892441

    Phone: (707) 651-1000

    Type: Location

  • 2548 ERICA CT

    SANTA CRUZ, CA 950621958

    Phone: (209) 403-8259

    Type: Mailing

  • 2500 MERCED ST

    SAN LEANDRO, CA 945774201

    Phone: (510) 454-1000

    Type: Location

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 $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($118).

Total Amount

$118

General + Research + Ownership

Payments

1

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-04-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180418002373ICertified Registered Nurse Anesthetist (Crna)CATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery1818$0
View full utilization report →

Insurance plans in this area (ZIP 94520)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749688000View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NV
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I use this page to confirm IRIS DICHUPA's NPI?
Yes. IRIS DICHUPA is listed with NPI 1417450149 in the public NPI dataset.
Does the file indicate IRIS DICHUPA is practicing under active NPI?
Directory data currently reports IRIS DICHUPA as active.
What is IRIS DICHUPA's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for IRIS DICHUPA here. Clinical services aligned with this taxonomy classification.
What address line appears for IRIS DICHUPA?
IRIS DICHUPA's geographic hint is Concord, California in our summary view.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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