Med Sports Vantage PLLC
NPI 1326587114ActiveOrganization· Family Medicine· Brighton, MI
Family Medicine in Brighton, Michigan, registered in NPPES in February 2017. The authorized official on file is Rachel Lethorn, PA-C, Ceo / Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1326587114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2017 |
| Last updated in NPPES | Oct 10, 2026 |
| Certified by provider | Oct 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine, Addiction Medicine | 207RA0401X | 5601003608 | MI |
| Clinic/Center, Medical Specialty | 261QM2500X | 5601003608 | MI |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
| Physician Assistant | 363A00000X | 5601003608 | MI |
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 (MI) |
|---|
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