NPIMap

Individual provider Active NPI

Vavah Fiase, PA-C

  • Physician Assistant
  • Fort Washington, PA
National Provider Identifier
1013447952
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059173 Issued in PA
Practice address
515 Pennsylvania Ave FL 1
Fort Washington, PA 19034-3314
Phone
(215) 728-2409
Fax
(215) 542-6844
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059173 PA Primary

Addresses

Primary practice location

515 Pennsylvania Ave FL 1
Fort Washington, PA 19034-3314

Mailing address

333 Cottman Ave
Philadelphia, PA 19111-2497
Phone (215) 728-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301000130 PA Practitioner - Physician Assistant 1456624782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103

515 Pennsylvania Ave
Fort Washington, PA 19034-3314
Phone (215) 707-3663

8 Huntingdon Pike
Rockledge, PA 19046-4351
Phone (215) 214-3269

8815 Germantown Ave
Philadelphia, PA 19118-2722
Phone (215) 707-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059173PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Jan 24, 2023 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jan 24, 2023 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients
Temple Faculty Practice Plan, Inc PastSince Dec 6, 2022 Accepting new patients
Temple Physicians Inc PastSince Dec 6, 2022 Accepting new patients

Locations

515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700

8815 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8145

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

8 Huntingdon Pike
Rockledge, PA 19046
Phone (215) 214-3269

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1013447952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112497",
            "telephone_number": "215-728-6900",
            "fax_number": "215-214-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PENNSYLVANIA AVE FL 1",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343314",
            "telephone_number": "215-728-2409",
            "fax_number": "215-542-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIASE",
        "first_name": "VAVAH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.