Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dylan Robert Vendryes, PA

Individual provider Physician Assistant · NPI 1750743894

Dylan Robert Vendryes, PA is a Physician Assistant in Worcester, Massachusetts. Qualified in 2015, 11 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
11
Licensed in
MA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

123 Summer St
Worcester, MA 01608-1216
Phone: (508) 363-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 119 Belmont St, Worcester, MA 01605-2903 — (774) 443-7552
  • 55 Lake Ave N, Worcester, MA 01655-0002 — (774) 443-7552

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA5640 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA5640 (MA)

Record details

NPI number1750743894
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address20 Washington Sq, Worcester, MA 01604-4013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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