DIARA ALESSANDRA VICEDOMINI PA
NPI 1821727744
Physician Assistant in Bronx, NY
About Diara Alessandra Vicedomini Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIARA ALESSANDRA VICEDOMINI PA (NPI 1821727744) is an individual physician assistant in Bronx, New York, licensed in New York (028873) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Diara Alessandra Vicedomini Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRONX, NY 10459
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 Diara Vicedomini's NPI number?
The NPI number for Diara Vicedomini is 1821727744. It was assigned to this individual provider in the NPPES registry on June 7, 2022.
Where is Diara Vicedomini located?
Diara Vicedomini practices at 1065 Southern Blvd, Bronx, NY 10459. The listed phone number is (718) 589-2440.
What is Diara Vicedomini's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Diara Vicedomini enrolled in Medicare?
Yes. Diara Vicedomini 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.
When was this NPI record last updated?
The NPPES record for Diara Vicedomini was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Diara Alessandra Vicedomini, PA · NPI 1821727744
Physician Assistant physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1821727744 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 028873 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1065 SOUTHERN BLVD, Bronx, NY 10459-2417
- **Phone:** (718) 589-2440
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1821727744) · Data from the CMS NPPES public registry.