Vitality Internal Medicine - Avondale PLLC
NPI 1194212977ActiveOrganization· Internal Medicine· Avondale, AZ
Internal Medicine in Avondale, Arizona, registered in NPPES in April 2018. The authorized official on file is Charles Benjamin Evans, MD, Medical Director.
Overview
| NPI | 1194212977 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2018 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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 |
|---|
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