EXCLUDEDPROVIDER
Individual Program Crime

Agustin Varron Vitualla

Smyrna, TN 37167

Public HHS-OIG LEIE exclusion record

Agustin Varron Vitualla of Smyrna, TN is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1134217029 with a primary specialty of General Practice. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Agustin Varron Vitualla is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of November 20, 2022.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Smyrna, TN 37167
Exclusion date
November 20, 2022
Exclusion type
Program Crime (1128a1)
NPI
1134217029

Record summary

Agustin Varron Vitualla appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Smyrna, Tennessee. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is November 20, 2022, and the exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateNovember 20, 2022
Exclusion typeConviction of program-related crimes (1128a1)
NPI1134217029
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Smyrna, TN 37167. The listed provider category is Physician (MD, DO). The listed specialty is Family Practice.

NPI Registry context

The LEIE record lists NPI 1134217029. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy General Practice (208D00000X). Registered practice location: Camden, TN. NPI enumeration date: Oct 10, 2006. NPPES status: Active. The NPI Registry lists credential: MD.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Smyrna, TN

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Smyrna, TN address.

Jessica Ann Martin Individual Revocation
Smyrna, TN · License revocation, suspension, or surrender · Excluded Jul 2025
Michelle L Vandervort Individual Revocation
Smyrna, TN · License revocation, suspension, or surrender · Excluded Aug 2015
Linda S Bennett Individual Revocation
Smyrna, TN · License revocation, suspension, or surrender · Excluded Mar 2005
Tammy J Pollock Individual Drug Felony
Smyrna, TN · Felony conviction relating to controlled substance · Excluded Sep 2003

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

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