Stellar Pcp LLC
NPI 1144921867ActiveOrganization· Family Medicine· Midvale, UT
Family Medicine in Midvale, Utah, registered in NPPES in March 2023. The authorized official on file is Mathew Harrison, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144921867 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2023 |
| Last updated in NPPES | Dec 20, 2024 |
| Certified by provider | Dec 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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