VM PROVISION CARE LLC
NPI 1164072765
Internal Medicine - Geriatric Medicine in Tacoma, WA

Active since September 16, 2019
3640 S CEDAR ST STE O, TACOMA, WA 98409(253) 651-2498 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vm Provision Care Llc NPPES

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

VM PROVISION CARE LLC (NPI 1164072765) is a healthcare organization registered as a geriatric medicine in Tacoma, Washington and active in the NPI registry since September 2019. The organization lists Atif Mian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164072765
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameVM PROVISION CARE LLC
Location Address3640 S CEDAR ST STE OTacoma, WA 98409-5700
Mailing AddressPo Box 64375Tacoma, WA 98464-0375 · (253) 651-2498
Organization SubpartNo
Authorized OfficialAtif MianCeo · (253) 651-2498
Enumeration DateSeptember 16, 2019
✔ NPI 1164072765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
3640 S CEDAR ST STE O, Tacoma, WA 98409

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vm Provision Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Vm Provision Care LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Internal Medicine
NPI 1700819307
2302 S UNION AVE STE C30
Tacoma, WA 98405
(253) 651-2498
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1285481036
815 S VASSAULT ST
Tacoma, WA 98465
(253) 444-3320
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1265832901
1614 S MILDRED ST STE A
Tacoma, WA 98465
(253) 507-9452
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1376081836
10021 12TH AVE S
Tacoma, WA 98444
(253) 302-5926
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1063522126
9600 VETERANS DR SW
Tacoma, WA 98493
(253) 582-8440
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1700286440
225 176TH ST S
Spanaway, WA 98387
(253) 507-3594
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1518447473
531 QUEEN ANNE AVE N
Seattle, WA 98109
(206) 284-7286
✔ PECOS✔ Accepts Medicare28 mi
Internal Medicine
NPI 1477567725
1615 DELAWARE ST
Longview, WA 98632
(360) 501-3601
✔ PECOS✔ Accepts Medicare79 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 Vm Provision Care LLC's NPI number?

The NPI number for Vm Provision Care LLC is 1164072765. It was assigned to this organization in the NPPES registry on September 16, 2019.

Where is Vm Provision Care LLC located?

Vm Provision Care LLC is located at 3640 S Cedar St Ste O, Tacoma, WA 98409. The listed phone number is (253) 651-2498.

What is Vm Provision Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Vm Provision Care LLC enrolled in Medicare?

Yes. Vm Provision Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vm Provision Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Vm Provision Care 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 (5) and Internal Medicine (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vm Provision Care LLC accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Vm Provision Care 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 Vm Provision Care LLC was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.