VANIA MA MD
NPI 1164161972
General Practice in Fort Drum, NY

Q: What is Vania Ma's NPI number?

The NPI number for Vania Ma is 1164161972. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Q: What is Vania Ma's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Vania Ma was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 31, 2022PECOS Enrolled

USA MEDDAC, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-7059 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2025, Aug 21, 2023 (2 updates tracked since 2023).

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About Vania Ma Md NPPES

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

VANIA MA MD (NPI 1164161972) is an individual general practice provider in Fort Drum, New York, licensed in Maryland (1164161972) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164161972

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameVANIA MACredential: MD

Location AddressUSA MEDDAC, 11050 MT BELVEDERE BLVDFort Drum, NY 13602-5004

Mailing AddressUsa Meddac, 11050 Mt Belvedere BlvdFort Drum, NY 13602-5004

Phone(315) 772-7059

Sole ProprietorNo

Enumeration DateMay 31, 2022

Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration

NPPES CertifiedAugust 8, 2025

✔ NPI 1164161972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MD · 1164161972

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 1164161972 (MD)

USA MEDDAC, Fort Drum, NY 13602

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vania Ma Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

BAILEY MOORHEAD BEARDSLEY DMD

Dentist (Oral and Maxillofacial Surgery)

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-8891

MR. JEFFREY MORGAN COX LICSW

Social Worker

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FT DRUM, NY 13602

Jefferson County (315) 921-9000

MR. KENNETH HERBERT THOMAS JR. CASAC, LPC

Counselor (Addiction (Substance Use Disorder))

USA MEDDAC, 11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-8801

PANITA PIPATNAWIN FNP-C

Nurse Practitioner (Family)

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 774-5356

JAMES KIM M.D.

Internal Medicine

USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-2964

DR. BRIDGET MATSAS MD

Emergency Medicine

USA MEDDAC, 11050 MT. BELVEDERE BLVD.
FORT DRUM, NY 13602

Jefferson County (315) 772-0215

JUSTIN DAVID RADO PHYSICIAN ASSISTANT

Physician Assistant

USA MEDDAC, 11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 772-6214

ANGELA MATTHEWS LCSW

Social Worker

USA MEDDAC, 11050 MT. BELVEDERE BLVD
FORT DRUM, NY 13602

Jefferson County (315) 774-0770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vania Ma's NPI number?

The NPI number for Vania Ma is 1164161972. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Vania Ma located?

Vania Ma practices at Usa Meddac 11050 Mt Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-7059.

What is Vania Ma's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Vania Ma enrolled in Medicare?

Yes. Vania Ma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vania Ma was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.