Longevity Health Clinic, Inc
NPI 1063235208ActiveOrganization· Clinic/Center· Charlottesville, VA
Clinic/Center in Charlottesville, Virginia, registered in NPPES in November 2024. The authorized official on file is Jason Itri, MD, PHD, Owner And Medical Director.
Overview
| NPI | 1063235208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2024 |
| Last updated in NPPES | Nov 6, 2024 |
| Certified by provider | Nov 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in Charlottesville
- 1205061751
- 1639642358
- 1831711902
- 1497135784
- 1134953771
- 1396193157
- 1043728439
- 1609929223
- 1700939329
- 1063166890
- 1356554034
- 1699170985