VICTOR ELI VASQUEZ (PA-C) – Medical Physician Assistant, NPI 1972217446

VICTOR ELI VASQUEZ (PA-C) is a healthcare provider. based in Hartford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5936 (CT). The NPI Number for VICTOR ELI VASQUEZ (PA-C) is 1972217446

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
VICTOR ELI VASQUEZ (PA-C)
NPI
1972217446
Phone
(860) 712-8131
Address
209 VICTORIA RD
Enumeration Date
10 January 2023
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607147362
Graduation Year
2022 (4 years ago)
PAC ID
3577938505
Group Practice PAC ID
3779486345
Professional Enrollment ID
I20230405001251
Address ID
CT061051230HA95XXXSTXX303

Contacts

Secure Messaging
victor.vasquez.1@27673.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

3,243 PHYSICIAN ASSISTANT in CT

Provider Addresses for VICTOR ELI VASQUEZ (PA-C)

  • 209 VICTORIA RD

    HARTFORD, CT 061142800

    Phone: (860) 712-8131

    Type: Mailing

  • 580 COTTAGE GROVE RD STE 107

    BLOOMFIELD, CT 060023088

    Phone: (860) 243-8709

    Fax: (860) 243-8259

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,155.

Total Amount is formed as General ($1,155) + Research ($0) + Ownership ($0) = $1,155.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($368).

Total Amount

$1,155

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2023-04-05

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

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
I20230405001251IPhysician AssistantCTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes174128$0
99214Established patient office or other outpatient visit, 30-39 minutes3231$0
81002Urinalysis, manual test2523$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2525$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2424$0
View full utilization report →

Insurance plans in this area (ZIP 06114)

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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: 3779486345View full group profile
NameSpecialtyState
Pediatric MedicineMA
Internal MedicineCT
Internal MedicineCT
Family PracticeCT
Nurse PractitionerCT
Internal Medicine, Addiction MedicineCT
Internal MedicineCT
Physician AssistantCT
Pediatric Medicine, Internal MedicineNJ
Internal MedicineCT

Reviews

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Frequently asked questions

Is VICTOR ELI VASQUEZ (PA-C) listed with a National Provider Identifier?
Yes — VICTOR ELI VASQUEZ (PA-C) has NPI 1972217446 on file in the registry.
Is there an active status for VICTOR ELI VASQUEZ (PA-C)?
For scheduling context, VICTOR ELI VASQUEZ (PA-C) is shown as active in the registry.
What area of care is associated with VICTOR ELI VASQUEZ (PA-C)?
VICTOR ELI VASQUEZ (PA-C)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with VICTOR ELI VASQUEZ (PA-C)?
Directory geography for VICTOR ELI VASQUEZ (PA-C) centers on Hartford, Connecticut.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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