1. Home
  2. Directory
  3. Texas
  4. Kingwood
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VYTALUS MEDICAL GROUP, PLLC
NPI 1053631275
Family Medicine in Kingwood, TX

Active since June 10, 2010CLIA Certified · 2 labs
23330 HIGHWAY 59 N STE 300, KINGWOOD, TX 77339(281) 359-3223(281) 359-2089 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2026, Dec 9, 2024, Jul 30, 2024 and 5 more (8 updates tracked since 2017).

About Vytalus Medical Group, Pllc NPPES

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

VYTALUS MEDICAL GROUP, PLLC (NPI 1053631275), doing business as Diagnostic Affiliates Of Northeast Houston, Pllc, is a healthcare organization registered as a family medicine in Kingwood, Texas and active in the NPI registry since June 2010. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Humble, and lists Vanessa Escareno, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053631275
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVYTALUS MEDICAL GROUP, PLLC
Location Address23330 HIGHWAY 59 N STE 300Kingwood, TX 77339-4471
Mailing Address23330 Highway 59 N Ste 300Kingwood, TX 77339-4471 · (281) 359-3223 · Fax (281) 359-2089
Phone(281) 359-3223
Fax(281) 359-2089
Organization SubpartNo
Authorized OfficialVanessa EscarenoOffice Manager · (281) 359-3223
Enumeration DateJune 10, 2010
Last NPPES UpdateOctober 7, 20268 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1053631275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
23330 HIGHWAY 59 N STE 300, Kingwood, TX 77339
Open in Google Maps ↗

Other Names 1

Former Legal Business NameDiagnostic Affiliates Of Northeast Houston, Pllc

Secondary Practice Location 1

Location 115720 Woodland Hills Dr Ste 600Humble, TX 77346-5403 · Phone (281) 359-3223 · Fax (281) 359-2089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vytalus Medical Group, Pllc 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 Vytalus Medical Group, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Martin Basaldua, M.D.
Family Practice
NPI 1609809391
23330 HWY 59 N STE 300
Kingwood, TX 77339
(281) 359-3223
✔ PECOS✔ Accepts MedicareSame address
Carl Heller, M.D.
Family Practice
NPI 1942225347
23330 HWY 59 N STE 300
Kingwood, TX 77339
(281) 359-3223
✔ PECOS✔ Accepts MedicareSame address
Marriyam Jawad, MD
Internal Medicine
NPI 1649894213
23330 HWY 59 N STE 300
Kingwood, TX 77339
(281) 359-3223
✔ PECOS✔ Accepts MedicareSame address
Allan Daniels, M.D.
Internal Medicine
NPI 1538265905
23330 HWY 59 N STE 300
Kingwood, TX 77339
(281) 359-3223
✔ PECOS✔ Accepts MedicareSame address
James Phelan, M.D.
Family Practice
NPI 1811921448
23330 HIGHWAY 59 N STE 300
Kingwood, TX 77339
(281) 359-3223
✔ PECOS✔ Accepts MedicareSame address
Zeming Wang, MD
Family Practice
NPI 1043898810
1133 JOHN FREEMAN BLVD STE JJL 324
Houston, TX 77030
(713) 500-7593
✔ PECOS✔ Accepts Medicare25 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2302792

Vytalus Medical Group - Balmoral · Humble, TX
Active · expires Apr 15, 2028
CLIA Number45D2302792
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorMartin Basaldua
Laboratory Phone(281) 359-3223
Laboratory LocationVytalus Medical Group - Balmoral15720 Woodland Hills Dr, Ste 600, Humble, TX 77346
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0989670

Vytalus Medical Group, PLLC · Kingwood, TX
Active · expires Aug 1, 2027
CLIA Number45D0989670
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorMartin Basaldua MD
Laboratory Phone(281) 359-3223
Laboratory LocationVytalus Medical Group, PLLC23330 Us Hwy 59 N, Ste 300, Kingwood, TX 77339
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vytalus Medical Group, PLLC's NPI number?

The NPI number for Vytalus Medical Group, PLLC is 1053631275. It was assigned to this organization in the NPPES registry on June 10, 2010. The provider was formerly known as Diagnostic Affiliates of Northeast Houston, PLLC.

Where is Vytalus Medical Group, PLLC located?

Vytalus Medical Group, PLLC is located at 23330 Highway 59 N Ste 300, Kingwood, TX 77339. The listed phone number is (281) 359-3223.

What is Vytalus Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vytalus Medical Group, PLLC enrolled in Medicare?

Yes. Vytalus Medical Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vytalus Medical Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Vytalus Medical Group, PLLC. 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 Family Practice (4) and Internal Medicine (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vytalus Medical Group, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vytalus Medical Group, PLLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.