Avesis Third Party Administrators, LLC
NPI 1336304229ActiveOrganization· Exclusive Provider Organization· Tempe, AZ
Exclusive Provider Organization in Tempe, Arizona, registered in NPPES in July 2008, part of Avesis, LLC. The authorized official on file is Jennifer L. Moore, Regulatory License Manager.
Overview
| NPI | 1336304229 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Avesis, LLC |
| NPI issued | Jul 21, 2008 |
| Last updated in NPPES | Oct 4, 2023 |
| Certified by provider | Oct 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
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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