Living Water Vein Institute, P.C.
NPI 1134782170ActiveOrganization· Internal Medicine, Cardiovascular Disease· Johnson City, TN
Internal Medicine, Cardiovascular Disease in Johnson City, Tennessee, registered in NPPES in April 2019. The authorized official on file is John F. Berry, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1134782170 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 16, 2019 |
| Last updated in NPPES | Aug 19, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
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); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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