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VITALITY PLUS UROLOGY, LLC
NPI 1790484194
Urology in Mountain Home, AR

Active since February 24, 2023
140 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653(870) 232-5215(870) 232-5240 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2024, Aug 23, 2023, Jun 22, 2023 and 3 more (6 updates tracked since 2023).

About Vitality Plus Urology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY PLUS UROLOGY, LLC (NPI 1790484194) is a healthcare organization registered as an urology in Mountain Home, Arkansas and active in the NPI registry since February 2023. The organization maintains a secondary practice location in Mountain Home and lists Daniel Benjamin Decker, Operating Manager, as its authorized official.

NPPES Registry Identity

NPI1790484194
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameVITALITY PLUS UROLOGY, LLC
Location Address140 HIGHWAY 201 NMountain Home, AR 72653-3158
Mailing AddressPo Box 2443Mountain Home, AR 72654-2443 · (870) 232-5215 · Fax (870) 232-5240
Phone(870) 232-5215
Fax(870) 232-5240
Organization SubpartNo
Authorized OfficialDaniel Benjamin DeckerOperating Manager · (870) 232-5215
Enumeration DateFebruary 24, 2023
Last NPPES UpdateAugust 13, 20246 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1790484194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
140 HIGHWAY 201 N, Mountain Home, AR 72653
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Secondary Practice Location 1

Location 119 Medical Plz Ste 40Mountain Home, AR 72653-2962 · Phone (870) 232-5215 · Fax (870) 232-5240

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitality Plus Urology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Vitality Plus Urology, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Austin Barber, MD
Urology
NPI 1912142787
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts MedicareSame address
Daniel Decker, MD
Urology
NPI 1205039807
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts MedicareSame address
Julie Hutchens, APRN
Nurse Practitioner
NPI 1639583834
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts MedicareSame address
Daniel Pevril
Nurse Practitioner
NPI 1649811415
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts MedicareSame address
Amy Reano, NP-C
Nurse Practitioner
NPI 1568054930
140 HIGHWAY 201 N
Mountain Home, AR 72653
(870) 232-5215
✔ PECOS✔ Accepts MedicareSame address
Ahsan Siddiqi, MD
Pathology
NPI 1174919021
7700 FLOYD CURL DR
San Antonio, TX 78229
(210) 575-4000
✔ PECOS✔ Accepts Medicare592 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Plus Urology, LLC's NPI number?

The NPI number for Vitality Plus Urology, LLC is 1790484194. It was assigned to this organization in the NPPES registry on February 24, 2023.

Where is Vitality Plus Urology, LLC located?

Vitality Plus Urology, LLC is located at 140 Highway 201 N, Mountain Home, AR 72653. The listed phone number is (870) 232-5215.

What is Vitality Plus Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Vitality Plus Urology, LLC enrolled in Medicare?

Yes. Vitality Plus Urology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Plus Urology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Vitality Plus Urology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Urology (2) and Pathology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vitality Plus Urology, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Vitality Plus Urology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vitality Plus Urology, LLC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.