HENRY VLADYKA (PA) – Surgical Physician Assistant, NPI 1013011154

Surgical Physician Assistant

HENRY VLADYKA (PA) is a healthcare provider. based in Meriden, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 001379 (CT). The NPI Number for HENRY VLADYKA (PA) is 1013011154

Main info

Male

23 Years Of Experience

Accepts Medicare Assignment

Name

HENRY VLADYKA (PA)

NPI

1013011154

Phone

(203) 694-8200

Address

435 LEWIS AVE

Enumeration Date

11 September 2006

Last Update Date

4 January 2013

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2036948200

Graduation Year

2003 (23 years ago)

PAC ID

9931150109

Group Practice PAC ID

7416840699

Professional Enrollment ID

I20050204000257

Address ID

CT064512101ME435XXAVEX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

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Provider Addresses for HENRY VLADYKA (PA)

Mid State Medical Center, 435, Lewis Avenue, Meriden, New Haven County, Connecticut, 06451, United States
MERIDEN, CT 064512101
Phone: (203) 694-8200
Fax: (203) 694-8200
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-02-04

PECOS data refreshed: 2026-05-27

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

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
I20050204000257	I	Physician Assistant	CT	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06451)

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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: 7416840699View full group profile

Name	Specialty	State
DR. DAVID JAY ALTSZULER (MD)	Cardiovascular Disease (Cardiology)	NY
MANJUNATH RAMAIAH (MD)	Internal Medicine, Hospitalist	TN
MRS. JULIET ELISABETH RIVERA (PA-C)	Physician Assistant	CT
CHRISTINA A PLANTIER (PA-C)	Physician Assistant	CT
DAVID K. HAHN (MD)	N E U R O L O G Y	CT
MATTHEW P WARD (PA)	Physician Assistant	CT
MEHAK IDREES (M.D.)	Internal Medicine	CT
MS. UMA TRIVEDI (PA)	-	CT
DR. CLARE LIGUORI CHERNEY (MD)	-	CT
CARLEEN BLOIS (PA)	Physician Assistant	CT

Reviews

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Frequently asked questions

Does HENRY VLADYKA (PA) share an NPI with anyone else?

NPI numbers are unique to each provider or organization — HENRY VLADYKA (PA) uses 1013011154.

Can I rely on HENRY VLADYKA (PA) being an active provider?

As of the registry snapshot, HENRY VLADYKA (PA) is marked active.

What is HENRY VLADYKA (PA)'s specialty?

The listing groups HENRY VLADYKA (PA) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.

Where is HENRY VLADYKA (PA) based?

HENRY VLADYKA (PA) is tied to Meriden, Connecticut in the data we show; additional addresses may exist on the full record.

Why does HENRY VLADYKA (PA) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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