Kiran De Jesus, - Medicare Physician Assistant in Newport News, VA

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Kiran De Jesus, is a medicare enrolled "Physician Assistant" in Newport News, Virginia. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Tidewater Physicians Multispecialty Group Pc and her current practice location is 860 Omni Blvd Ste 111, Newport News, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 369-8138.

Kiran De Jesus is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023663622.

Contact Information

Kiran De Jesus,
860 Omni Blvd Ste 111,
Newport News, VA 23606-4430
(757) 369-8138
Not Available

Map and Direction




Provider's Profile

Full NameKiran De Jesus
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location860 Omni Blvd Ste 111, Newport News, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kiran De Jesus graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1023663622
  • Provider Enumeration Date: 08/09/2019
  • Last Update Date: 10/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7113339276
  • Enrollment ID: I20250107003745

Medical Identifiers

Medical identifiers for Kiran De Jesus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023663622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110010497 (Virginia)Secondary
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Walter Reed HospitalGloucester, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tidewater Physicians Multispecialty Group Pc2860398526253

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kiran De Jesus is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kiran De Jesus,
860 Omni Blvd Ste 111,
Newport News, VA 23606-4430

Ph: (757) 369-8138		Kiran De Jesus,
860 Omni Blvd Ste 111,
Newport News, VA 23606-4430

Ph: (757) 369-8138

Reviews and Comments


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Mrs. Madeline Holm Salyer, PA-C
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Phone: 757-327-0657    Fax: 757-240-5096

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.