Percival Vandaam, MPAS, PA-C
NPI 1104117431 · Physician Assistant · Everett, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
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)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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.
Practice location
Mailing address
Registry dates
- 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.