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NPISignal

Individual Healthcare Provider

James Rielly

NPI Record: ActiveSurgery — Vascular Surgery
NPI1386638005
Provo, Utah

Provider's NPPES record last updated: March 14, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1386638005
Primary Specialty
Surgery — Vascular Surgery
Practice Location
Provo, Utah
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 7:26 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Vascular Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

    Taxonomy code 2086S0129X
  • Surgery

    Allopathic & Osteopathic Physicians

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X

Provider-Reported License Information

Surgery (Utah)
11889299-1205
Surgery (New York)
249582
Surgery (Pennsylvania)
MD469103
Surgery (South Carolina)
83219
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

395 W Cougar Blvd Ste 503

Provo, Utah 84604-3323

Phone: (801) 374-9100

Additional Practice Location

1002 Lindbergh Dr Ne

Suite 2001

Atlanta, Georgia 30324-3721

Phone: (770) 628-2855

Additional Practice Location

115 Heart Dr

Greenville, North Carolina 27834-8982

Phone: (252) 744-4400

Fax: (252) 744-3987

Additional Practice Location

3 Richland Medical Park Dr Ste 330

Columbia, South Carolina 29203-6862

Phone: (803) 434-7100

Fax: (803) 434-6889

Additional Practice Location

1703 Innovation Dr Ste 4120

York, Pennsylvania 17408-8815

Phone: (717) 849-5576

Record Information

Enumeration Date
September 8, 2005
Provider's NPPES Record Last Updated
March 14, 2024
Certification Date
March 14, 2024
NPISignal NPPES Dataset
August 2026

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