MRS. KIA B RIDDICK (PA) – Surgical Physician Assistant, NPI 1184887119
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
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Provider Addresses for MRS. KIA B RIDDICK (PA)
230, Clearfield Avenue, Boulevard Manor, Virginia Beach, Virginia, 23462, United States
SUITE 124
VIRGINIA BEACH, VA 234621832
Phone: (757) 321-3383
Fax: (757) 321-3332
Type: Mailing
5000 COX RD STE 124
GLEN ALLEN, VA 230609263
Phone:
Type: Mailing
Secep Administrative Offices, 6160, Kempsville Circle, Glen Rock, Janaf, Norfolk, Virginia, 23502, United States
SUITE 200B
NORFOLK, VA 235023933
Phone: (757) 321-3383
Fax: (757) 321-3332
Type: Location
6160 Kempsville Cir
SUITE 200B
Norfolk, VA 235023933
Phone: (757) 321-3383
Fax: (757) 321-3332
Type: Location
3432 HOLLAND RD
VIRGINIA BEACH, VA 234524846
Phone: (757) 468-1855
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: 2022-07-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080819000929 | I | Physician Assistant | VA | TBD |
| I20220722000718 | I | Physician Assistant | DC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 62 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 37 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 25 | 25 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 23 | 23 | $0 |
Insurance plans in this area (ZIP 23462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| Physician Assistant | VA | |
| Family Practice | VA | |
| Family Practice | VA | |
| Family Practice | VA | |
| Internal Medicine | VA | |
| Physician Assistant | DC |
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