Ideanna Acosta, PA-C
NPI 1043763147ActiveIndividual· Physician Assistant, Medical· Bronx, NY
Physician Assistant, Medical (PA-C) in Bronx, New York, licensed in NY, with an NPI issued in July 2016. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1043763147 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 26, 2016 |
| Last updated in NPPES | Jun 21, 2024 |
| Certified by provider | Jun 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 022167 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant, Medical providers in Bronx
- 1093102865
- 1497199202
- 1730473406
- 1689472730
- 1235478165
- 1720229412
- 1568641405
- 1336531383
- 1639444037
- 1386833572
- 1750625240
- 1083780514