MR. VAVAH FIASE (PA-C) – Physician Assistant, NPI 1013447952

MR. VAVAH FIASE (PA-C) is a healthcare provider. based in Newark, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA059173 (PA). The NPI Number for MR. VAVAH FIASE (PA-C) is 1013447952

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. VAVAH FIASE (PA-C)
NPI
1013447952
Phone
(469) 544-9441
Address
2405 OLDEN AVE
Enumeration Date
13 June 2017
Last Update Date
16 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2157073663
Graduation Year
2017 (9 years ago)
PAC ID
1456624782
Group Practice PAC ID
0345588711
Professional Enrollment ID
I20230301000130
Address ID
PA190343314FO515XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

757 PHYSICIAN ASSISTANT in DE

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Provider Addresses for MR. VAVAH FIASE (PA-C)

  • 2405 OLDEN AVE

    NEWARK, DE 197021523

    Phone: (469) 544-9441

    Type: Mailing

  • 333 COTTMAN AVE

    PHILADELPHIA, PA 191112497

    Phone: (215) 728-6900

    Fax: (215) 214-1734

    Type: Mailing

  • 601, New Castle Avenue, Southbridge, South Wilmington, Wilmington, New Castle County, Delaware, 19801, United States

    WILMINGTON, DE 198015821

    Phone: (302) 655-9196

    Type: Location

  • 515 PENNSYLVANIA AVE FL 1

    FORT WASHINGTON, PA 190343314

    Phone: (215) 728-2409

    Fax: (215) 542-6844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $2,039.

Total Amount is formed as General ($2,039) + Research ($0) + Ownership ($0) = $2,039.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($408).

Total Amount

$2,039

General + Research + Ownership

Payments

35

Total payment records

General Amount

$2,039

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-03-01

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
I20230301000130IPhysician AssistantPATBD

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 19702)

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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: 0345588711View full group profile
NameSpecialtyState
Internal MedicinePA
A N E S T H E S I O L O G YPA
Pulmonary Disease, Critical Care (Intensivists), HospitalistPA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
Pulmonary Disease, Critical Care (Intensivists)PA
General SurgeryPA
-PA
P A T H O L O G YPA
-PA

Reviews

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Frequently asked questions

What NPI should I save for MR. VAVAH FIASE (PA-C)?
Save NPI 1013447952 if you need a stable reference for MR. VAVAH FIASE (PA-C).
Is MR. VAVAH FIASE (PA-C) currently active in the NPI registry?
CMS-published data lists MR. VAVAH FIASE (PA-C) as an active registrant.
Does MR. VAVAH FIASE (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MR. VAVAH FIASE (PA-C). Clinical services aligned with this taxonomy classification.
Where is MR. VAVAH FIASE (PA-C)'s primary listing?
We display Newark, Delaware because that is what the record indicates for MR. VAVAH FIASE (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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