Samaritan Medical Practice, PC
NPI 1124202619ActiveOrganization· Surgery· Watertown, NY
Surgery in Watertown, New York, registered in NPPES in December 2007. The authorized official on file is Mario Victoria, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124202619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2007 |
| Last updated in NPPES | Nov 21, 2022 |
| Certified by provider | Nov 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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