What is Percival Vandaam's NPI number?

Percival Vandaam's National Provider Identifier (NPI) is 1104117431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Percival Vandaam's specialty?

Percival Vandaam is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Percival Vandaam located?

Percival Vandaam's practice location on file with NPPES is 103 Garland Street, Everett, MA 02149.

What is Percival Vandaam's phone number?

The practice phone number listed in the NPPES registry for Percival Vandaam is (617) 665-1000.

Does Percival Vandaam accept Medicare?

Percival Vandaam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Percival Vandaam's NPI active?

Yes — Percival Vandaam's NPI (1104117431) is active in the NPPES registry as of the last update on 2015-11-11.

IndividualActiveAccepts Medicare

Percival Vandaam, MPAS, PA-C

NPI 1104117431 · Physician Assistant · Everett, MA

Percival Vandaam, MPAS, PA-C is a Physician Assistant provider in Everett, MA (NPI 1104117431).

Provider details

NPI number: 1104117431
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: MPAS, PA-C
Sex: Male
Sole proprietor: No
License: PA4149 (MA)

Practice location

103 Garland Street

Whidden Hospital Emergency Department

Everett, MA 02149

Phone: (617) 665-1000

Street-level locationGet directions

More MA providers

Mailing address

Cambirdge Health Alliance.

Cambridge, MA 02139

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense PA4149 (MA)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense PA00579 (RI)
Physician Assistants & Advanced Practice Nursing Providers

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(82/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2011-04-20
Last updated: 2015-11-11

Frequently asked questions

What is Percival Vandaam's NPI number?: Percival Vandaam's National Provider Identifier (NPI) is 1104117431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Percival Vandaam's specialty?: Percival Vandaam is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
Where is Percival Vandaam located?: Percival Vandaam's practice location on file with NPPES is 103 Garland Street, Everett, MA 02149.
What is Percival Vandaam's phone number?: The practice phone number listed in the NPPES registry for Percival Vandaam is (617) 665-1000.
Does Percival Vandaam accept Medicare?: Percival Vandaam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Percival Vandaam's NPI active?: Yes — Percival Vandaam's NPI (1104117431) is active in the NPPES registry as of the last update on 2015-11-11.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions