VANRIA V IYAMU – Physician Assistant, NPI 1174645808

VANRIA V IYAMU is a healthcare provider. based in Milton, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. AP1776 (MA). The NPI Number for VANRIA V IYAMU is 1174645808

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
VANRIA V IYAMU
NPI
1174645808
Phone
(617) 506-4471
Address
35 MEADOWVIEW RD
Enumeration Date
4 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8779378128
Graduation Year
2003 (23 years ago)
PAC ID
0941275630
Group Practice PAC ID
1759273436
Professional Enrollment ID
I20040826001135
Address ID
MA020902445WE100XXWAYX300
Telehealth
Yes
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

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for VANRIA V IYAMU

  • 35 MEADOWVIEW RD

    MILTON, MA 021861322

    Phone: (617) 506-4471

    Type: Mailing

  • 2100 DORCHESTER AVE

    DORCHESTER CENTER, MA 021245615

    Phone: (617) 506-4471

    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: 2004-08-26

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
I20040826001135IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes238219$0
99213Established patient office or other outpatient visit, 20-29 minutes127118$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2424$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1616$0
View full utilization report →

Insurance plans in this area (ZIP 02186)

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Provider's Procedures

VANRIA V IYAMU performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMA81002Urinalysis, manual test2017

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: 1759273436View full group profile
NameSpecialtyState
P A T H O L O G YMA
Nurse PractitionerNY
Diagnostic RadiologyME
Physician AssistantMA
Diagnostic RadiologyMI
Diagnostic RadiologyMA
Diagnostic RadiologyOH
P A T H O L O G YMA
Family Practice, Osteopathic Manipulative MedicineMA
Diagnostic Radiology, Interventional RadiologyNY

Reviews

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Frequently asked questions

What unique ID ties claims to VANRIA V IYAMU?
NPI 1174645808 is assigned to VANRIA V IYAMU under the national enumeration system.
Is VANRIA V IYAMU's NPI currently valid?
The extract we use shows VANRIA V IYAMU as active.
What field does VANRIA V IYAMU work in?
You can think of VANRIA V IYAMU as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is VANRIA V IYAMU's primary listing?
We display Milton, Massachusetts because that is what the record indicates for VANRIA V IYAMU.
What if Milton, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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