Vantage Healthcare LLC
NPI 1366903551ActiveOrganization· Internal Medicine· Canton, MA
Internal Medicine in Canton, Massachusetts, registered in NPPES in March 2019. The authorized official on file is Jamie L. Elliott, Coo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1366903551 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2019 |
| Last updated in NPPES | Aug 21, 2026 |
| Certified by provider | Aug 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
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 (MA); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (VT) |
|---|
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