SHYLA IMANI KISSOON (PA-C) – Physician Assistant, NPI 1790399483
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHYLA IMANI KISSOON (PA-C)
4830 NW 7TH ST
PLANTATION, FL 333171410
Phone: (954) 655-7641
Type: Mailing
4830 NW 7th St
Plantation, FL 333171410
Phone: (954) 655-7641
Type: Location
20 VALLEY ST STE 320
SOUTH ORANGE, NJ 070792881
Phone: (973) 313-1113
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $2,574.
Total Amount is formed as General ($2,574) + Research ($0) + Ownership ($0) = $2,574.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($739).
Total Amount
$2,574
General + Research + Ownership
Payments
127
Total payment records
General Amount
$2,574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $739 |
| Novo Nordisk Inc | $692 |
| Lilly USA, LLC | $294 |
| GlaxoSmithKline, LLC. | $274 |
| Bayer Healthcare Pharmaceuticals Inc. | $81 |
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: 2023-11-21
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 |
|---|---|---|---|---|
| I20231121000097 | I | Physician Assistant | NJ | 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 33317)
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