Innovative Vascular, PLLC
NPI 1124750765ActiveOrganization· Surgery, Vascular Surgery· Lenoir City, TN
Surgery, Vascular Surgery in Lenoir City, Tennessee, registered in NPPES in June 2022. The authorized official on file is John Underwood, Vp Treasurer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124750765 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2022 |
| Last updated in NPPES | Sep 26, 2026 |
| Certified by provider | Sep 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
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 Part B Supplier - Clinic/Group Practice (TN) |
|---|
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