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INTERNAL MEDICINE AND VITALITY, PLLC
NPI 1073357737
Internal Medicine in Portage, MI

Active since June 19, 2024
6505 CONSTITUTION BLVD STE C, PORTAGE, MI 49024(269) 762-4120(269) 254-8413 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2025, Nov 4, 2024, Jun 20, 2024 (3 updates tracked since 2024).

About Internal Medicine And Vitality, Pllc NPPES

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

INTERNAL MEDICINE AND VITALITY, PLLC (NPI 1073357737) is a healthcare organization registered as an internal medicine in Portage, Michigan and active in the NPI registry since June 2024. The organization lists Amanda R Henry, Owner, as its authorized official.

NPPES Registry Identity

NPI1073357737
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE AND VITALITY, PLLC
Location Address6505 CONSTITUTION BLVD STE CPortage, MI 49024-1605
Mailing Address6505 Constitution Blvd Ste CPortage, MI 49024-1605 · (269) 762-4120 · Fax (269) 254-8413
Phone(269) 762-4120
Fax(269) 254-8413
Organization SubpartNo
Authorized OfficialAmanda R HenryOwner · (269) 762-4120
Enumeration DateJune 19, 2024
Last NPPES UpdateJanuary 6, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1073357737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6505 CONSTITUTION BLVD STE C, Portage, MI 49024
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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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Internal Medicine And Vitality, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Internal Medicine And Vitality, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Henry, DO
Internal Medicine
NPI 1548464035
6505 CONSTITUTION BLVD STE C
Portage, MI 49024
(269) 762-4120
✔ PECOSSame address

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 Internal Medicine And Vitality, PLLC's NPI number?

The NPI number for Internal Medicine And Vitality, PLLC is 1073357737. It was assigned to this organization in the NPPES registry on June 19, 2024.

Where is Internal Medicine And Vitality, PLLC located?

Internal Medicine And Vitality, PLLC is located at 6505 Constitution Blvd Ste C, Portage, MI 49024. The listed phone number is (269) 762-4120.

What is Internal Medicine And Vitality, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Internal Medicine And Vitality, PLLC enrolled in Medicare?

Yes. Internal Medicine And Vitality, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine And Vitality, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Internal Medicine And Vitality, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Internal Medicine And Vitality, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Internal Medicine And Vitality, PLLC 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 Internal Medicine And Vitality, PLLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.