ANAY VALLEJO (PA) – Physician Assistant, NPI 1225513963
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for ANAY VALLEJO (PA)
129 VISION PARK BLVD STE 206
SHENANDOAH, TX 773843024
Phone: (281) 315-8130
Fax: (281) 315-8131
Type: Location
420, West John Carpenter Freeway, Las Colinas, Irving, Dallas County, Texas, 75039, United States
IRVING, TX 750392014
Phone: (972) 957-3000
Fax: (972) 957-3005
Type: Mailing
20403 FM 529 RD STE 200
CYPRESS, TX 774335379
Phone: (281) 656-4041
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 296 Open Payments records for all available years, with a total value of $5,913.
Total Amount is formed as General ($5,913) + Research ($0) + Ownership ($0) = $5,913.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,203).
Total Amount
$5,913
General + Research + Ownership
Payments
296
Total payment records
General Amount
$5,913
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,203 |
| Amgen Inc. | $798 |
| Janssen Biotech, Inc. | $736 |
| TerSera Therapeutics LLC | $441 |
| AstraZeneca Pharmaceuticals LP | $370 |
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: 2020-10-27
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 |
|---|---|---|---|---|
| I20201027001298 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| R H E U M A T O L O G Y | TX |
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