VIDA ALEXANDRA IMANI PA-C
NPI 1245071687
Physician Assistant in Lexington, KY

Active since May 31, 2024PECOS EnrolledAccepts Medicare Assignment
2405 HARRODSBURG RD, LEXINGTON, KY 40504(859) 278-9492(859) 469-5461 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vida Alexandra Imani Pa-c NPPES

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

VIDA ALEXANDRA IMANI PA-C (NPI 1245071687) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA3548) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of University Of Kentucky College Of Medicine (2024).

NPPES Registry Identity

NPI1245071687
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVIDA ALEXANDRA IMANICredential: PA-C
Location Address2405 HARRODSBURG RDLexington, KY 40504-3329
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(859) 469-5461
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2024
Enumeration DateMay 31, 2024
Last NPPES UpdateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
NPI 1245071687 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 KY · PA3548
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.

2405 HARRODSBURG RD, Lexington, KY 40504

Secondary Practice Location 1

Location 1316 Spangler DrRichmond, KY 40475-2351 · Phone (859) 623-4241 · Fax (859) 623-4242

Accepted 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

Vida Alexandra Imani Pa-c 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 ID9931629920
PECOS Enrollment IDI20250220002540
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 8

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

Dermatology
2405 HARRODSBURG RD
LEXINGTON, KY 40504
Dermatology
2405 HARRODSBURG RD
LEXINGTON, KY 40504
Dermatology
2405 HARRODSBURG RD
LEXINGTON, KY 40504
Physician Assistant
2405 HARRODSBURG RD
LEXINGTON, KY 40504
Physician Assistant
2405 HARRODSBURG RD
LEXINGTON, KY 40504
Dermatology (MOHS-Micrographic Surgery)
2405 HARRODSBURG RD
LEXINGTON, KY 40504
Dermatology
2405 HARRODSBURG RD
LEXINGTON, KY 40504
Dermatology
2405 HARRODSBURG RD
LEXINGTON, KY 40504

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 Vida Imani's NPI number?

The NPI number for Vida Imani is 1245071687. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Where is Vida Imani located?

Vida Imani practices at 2405 Harrodsburg Rd, Lexington, KY 40504. The listed phone number is (859) 278-9492.

What is Vida Imani's specialty?

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

Is Vida Imani enrolled in Medicare?

Yes. Vida Imani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vida Imani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Vida Imani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vida Imani was last updated on January 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.