Atlas Medical ACO LLC
NPI 1396573705ActiveOrganization· Family Medicine· Mesa, AZ
Family Medicine in Mesa, Arizona, registered in NPPES in July 2024, part of Atlas Medical ACO LLC. The authorized official on file is Benjamin Larsen, Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396573705 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Atlas Medical ACO LLC |
| NPI issued | Jul 25, 2024 |
| Last updated in NPPES | Sep 23, 2026 |
| Certified by provider | Sep 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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 (AZ) |
|---|
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