KIRAN JYOTI DE JESUS
NPI 1023663622
Physician Assistant in Newport News, VA

Q: What is Kiran De Jesus's NPI number?

The NPI number for Kiran De Jesus is 1023663622. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Q: What is Kiran De Jesus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kiran De Jesus was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2019PECOS EnrolledAccepts Medicare Assignment

860 OMNI BLVD STE 111, NEWPORT NEWS, VA 23606(757) 369-8138 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 15, 2026, Dec 5, 2024, Jan 30, 2023 and 3 more (6 updates tracked since 2019).

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About Kiran Jyoti De Jesus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRAN JYOTI DE JESUS (NPI 1023663622) is an individual physician assistant in Newport News, Virginia, licensed in Virginia (0110010497) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023663622

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIRAN JYOTI DE JESUS

Location Address860 OMNI BLVD STE 111Newport News, VA 23606-4430

Mailing Address860 Omni Blvd Ste 111Newport News, VA 23606-4430 · (757) 369-8138

Phone(757) 369-8138

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 9, 2019

Last NPPES UpdateJanuary 15, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1023663622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110010497

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

860 OMNI BLVD STE 111, Newport News, VA 23606

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Secondary Practice Locations 2

Location 14001 Coliseum Dr Ste 310AHampton, VA 23666-6257 · Phone (757) 736-2540 · Fax (757) 431-7771

Location 25160 S John Young PkwyOrlando, FL 32839-5022 · Phone (844) 665-4827

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiran Jyoti De Jesus is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113339276

PECOS Enrollment IDI20250107003745

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490007

Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County

Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490093

Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County

Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490130

Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS PARIS COFIELD NP-C

Nurse Practitioner