VASAVI KUMAR (PA) – Physician Assistant, NPI 1063408334

VASAVI KUMAR (PA) is a healthcare provider. based in Waukesha, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1000-23 (WI). The NPI Number for VASAVI KUMAR (PA) is 1063408334

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
VASAVI KUMAR (PA)
NPI
1063408334
Phone
(262) 542-0444
Address
1111 DELAFIELD ST
Enumeration Date
22 September 2005
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2625420444
Graduation Year
1997 (29 years ago)
PAC ID
3476741935
Group Practice PAC ID
6406843424
Professional Enrollment ID
I20101228000164
Address ID
WI531883403WA1111XSTXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

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Provider Addresses for VASAVI KUMAR (PA)

  • 1111, Delafield Street, Waukesha, Waukesha County, Wisconsin, 53188, United States

    STE 209

    WAUKESHA, WI 531883403

    Phone: (262) 542-0444

    Fax: (262) 542-8214

    Mailing address matches the actual address.

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: 2010-12-28

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
I20101228000164IPhysician AssistantWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 53188)

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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: 6406843424View full group profile
NameSpecialtyState
Physician AssistantWI
General Surgery, Vascular Surgery, Peripheral Vascular DiseaseWI
General SurgeryWI
General Surgery, Peripheral Vascular Disease, Vascular SurgeryWI
General Surgery, Peripheral Vascular Disease, Vascular SurgeryWI
Physician AssistantWI
General SurgeryWI
General Surgery, Surgical Oncology, Vascular SurgeryWI
General Surgery, Colorectal Surgery (Proctology), Vascular SurgeryWI
-WI

Reviews

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Frequently asked questions

What federal number belongs to VASAVI KUMAR (PA)?
The federal identifier for VASAVI KUMAR (PA) is NPI 1063408334.
Does this profile mean VASAVI KUMAR (PA) is currently active?
Yes — VASAVI KUMAR (PA) appears active in the national provider directory.
What does VASAVI KUMAR (PA) treat or focus on?
Patients typically see VASAVI KUMAR (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is VASAVI KUMAR (PA)'s primary listing?
We display Waukesha, Wisconsin because that is what the record indicates for VASAVI KUMAR (PA).
What if Waukesha, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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