ANITTA VARGHESE THOMAS (PA-C) – Physician Assistant, NPI 1083270094
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for ANITTA VARGHESE THOMAS (PA-C)
461 TANNER DR
TROY, MI 480854714
Phone:
Type: Mailing
North Telegraph Road, Waterford Township, Oakland County, Michigan, 48327:48328, United States
WATERFORD, MI 483281878
Phone: (248) 836-1000
Type: Location
1901 N Telegraph Rd
Waterford, MI 483281878
Phone: (248) 836-1000
Type: Location
4642 SHIVERS LN
FORNEY, TX 751263389
Phone:
Type: Mailing
2360 GUS THOMASSON RD
DALLAS, TX 752283005
Phone: (214) 396-0348
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: 2021-06-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210609001857 | I | Physician Assistant | TX | 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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 132 | 75 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 35 | 35 | $0 |
| G0008 | Administration of influenza virus vaccine | 26 | 26 | $0 |
| 83036 | Hemoglobin a1c level | 22 | 18 | $0 |
Insurance plans in this area (ZIP 48085)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Internal Medicine | FL | |
| Family Practice | MN | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | MD |
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