Vitality Plus Urology, LLC
NPI 1790484194ActiveOrganization· Urology· Mountain Home, AR
Urology in Mountain Home, Arkansas, registered in NPPES in February 2023. The authorized official on file is Daniel Benjamin Decker, MD, Operating Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1790484194 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2023 |
| Last updated in NPPES | Aug 13, 2024 |
| Certified by provider | Aug 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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