Ayesha Falak Kietzman, PA
NPI 1336703461ActiveIndividual· Physician Assistant· Hudson, FL
Physician Assistant (PA) with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc and 1 other group, practicing in Hudson, Florida. Part D covered 1,622 prescriptions written in 2024, 77% of them generic. Smith+nephew, Inc. reported $39.98 in payments in 2024, mostly food and beverage. Lists Sarasota Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1336703461 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Apr 24, 2019 |
| Last updated in NPPES | Jan 9, 2026 |
| Certified by provider | Jan 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA9112195 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,622 · 3,340 30-day fills |
|---|---|
| Patients | 190 |
| Total drug cost | $195,238 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr IncTampa, FL · 1,178 clinicians
- Tampa Family Health Centers IncTampa, FL · 69 clinicians
Hospital affiliation
- Sarasota Memorial HospitalSarasota, FL
Industry payments (Open Payments)
- 2024$39.98 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $39.98 | 1 |
What the 2024 payments were for
- Food and Beverage$39.98 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 physician assistants in Hudson · All physician assistants in Florida