Vista Surgical Group
NPI 1336910751ActiveOrganization· Surgery· Englewood, CO
Surgery in Englewood, Colorado, registered in NPPES in January 2024. The authorized official on file is Cassandra Lane Reynolds, MD, FACS, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336910751 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2024 |
| Last updated in NPPES | Jan 21, 2026 |
| Certified by provider | Jan 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Surgery, Surgical Critical Care | 2086S0102X | — | — |
| Surgery, Trauma Surgery | 2086S0127X | — | — |
| Surgery, Surgical Oncology | 2086X0206X | — | — |
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 (CO) |
|---|
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