AYDEN T SEGURITAN (PA) – Surgical Physician Assistant, NPI 1033221015

AYDEN T SEGURITAN (PA) is a healthcare provider. based in Brookline, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2098 (MA). The NPI Number for AYDEN T SEGURITAN (PA) is 1033221015

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
AYDEN T SEGURITAN (PA)
NPI
1033221015
Phone
(617) 713-2244
Address
BWPO DBA DEPT OF SURGERY ATTN CENTRAL PROVIDER ENROLLME
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177325500
Graduation Year
2005 (21 years ago)
PAC ID
1951309590
Group Practice PAC ID
3870405988
Professional Enrollment ID
I20061115000260
Address ID
MA021156110BO75XXXSTXX300
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

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for AYDEN T SEGURITAN (PA)

  • BWPO DBA DEPT OF SURGERY ATTN CENTRAL PROVIDER ENROLLME

    111 CYPRESS ST

    BROOKLINE, MA 02445

    Phone: (617) 713-2244

    Fax: (617) 582-1197

    Type: Mailing

  • BRIGHAM & WOMENS HOSPITAL

    DIVISION OF PLASTIC SURERY 75 FRANCIS ST

    BOSTON, MA 02115

    Phone: (617) 732-6974

    Type: Location

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: 2006-11-15

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
I20061115000260IPhysician AssistantMATBD

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
77001Fluoroscopic guidance for insertion or removal of central vein access device8988$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes8787$0
76937Ultrasonic guidance for blood vessel access6766$0
36561Insertion of central venous tube with port (5 years or older)4444$0
36589Removal of tunneled central venous tube2221$0
View full utilization report →

Insurance plans in this area (ZIP 02445)

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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: 3870405988View full group profile
NameSpecialtyState
N E U R O S U R G E R YMD
-MA
Critical Care (Intensivists), Pulmonary DiseaseFL
Physician AssistantMA
N E U R O L O G YMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physician AssistantNH
Nurse PractitionerMA
P A T H O L O G YMA

Reviews

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Frequently asked questions

Does AYDEN T SEGURITAN (PA) have a public NPI I can cite?
Public records show AYDEN T SEGURITAN (PA) under NPI 1033221015.
Should I treat AYDEN T SEGURITAN (PA) as an active provider?
Patients and plans typically see AYDEN T SEGURITAN (PA) as active in the national extract.
What type of care does AYDEN T SEGURITAN (PA) provide?
AYDEN T SEGURITAN (PA)'s profile centers on Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit AYDEN T SEGURITAN (PA) in Brookline, Massachusetts?
For routing, start with Brookline, Massachusetts for AYDEN T SEGURITAN (PA), then verify phone and hours locally.
Why is information missing for AYDEN T SEGURITAN (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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