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FAMILY CENTER VITALEHEALTH PLLC
NPI 1174025746
Family Medicine in Flower Mound, TX

Active since February 28, 2018CLIA Certified · 2 labs
1020 FLOWER MOUND RD STE 100, FLOWER MOUND, TX 75028(972) 410-0042(972) 410-0044 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2024, Dec 4, 2022, Sep 21, 2021 and 2 more (5 updates tracked since 2018).

About Family Center Vitalehealth Pllc NPPES

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

FAMILY CENTER VITALEHEALTH PLLC (NPI 1174025746) is a healthcare organization registered as a family medicine in Flower Mound, Texas and active in the NPI registry since February 2018. The organization holds 2 active CLIA laboratory certificates and lists Joseph M Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174025746
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY CENTER VITALEHEALTH PLLC
Location Address1020 FLOWER MOUND RD STE 100Flower Mound, TX 75028-3440
Mailing Address1020 Flower Mound Rd Ste 100Flower Mound, TX 75028-3440 · (972) 410-0024 · Fax (972) 410-0044
Phone(972) 410-0042
Fax(972) 410-0044
Organization SubpartNo
Authorized OfficialJoseph M KimCeo · (972) 410-0042
Enumeration DateFebruary 28, 2018
Last NPPES UpdateJune 20, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1174025746 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.
1020 FLOWER MOUND RD STE 100, Flower Mound, TX 75028
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Center Vitalehealth Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Center Vitalehealth PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Joseph Kim, M.D.
Family Practice
NPI 1992905376
1020 FLOWER MOUND RD STE 100
Flower Mound, TX 75028
(972) 410-0042
✔ PECOS✔ Accepts MedicareSame address
May Kim, M.D.
Family Practice
NPI 1386844744
1020 FLOWER MOUND RD STE 100
Flower Mound, TX 75028
(972) 410-0042
✔ PECOS✔ Accepts MedicareSame address
Jimi Kim, FNP-C
Nurse Practitioner
NPI 1730884990
5513 DATEWOOD LN
Mckinney, TX 75071
(408) 828-0385
✔ PECOS26 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 45D2146548

Family Center Vitalehealth · Flower Mound, TX
Active · expires Apr 1, 2028
CLIA Number45D2146548
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorMay Kim
Laboratory Phone(972) 410-0042
Laboratory LocationFamily Center Vitalehealth1020 Flower Mound Rd Suite 100, Flower Mound, TX 75028
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 45D2268123

Family Center Vitalehealth Carrollton · Carrollton, TX
Active · expires Sep 6, 2028
CLIA Number45D2268123
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2026
Certificate Expiration DateSeptember 6, 2028
Laboratory DirectorJoseph M. Kim
Laboratory Phone(972) 410-0042
Laboratory LocationFamily Center Vitalehealth Carrollton4217 Marsh Ridge Rd Suite 100, Carrollton, TX 75010
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 Family Center Vitalehealth PLLC's NPI number?

The NPI number for Family Center Vitalehealth PLLC is 1174025746. It was assigned to this organization in the NPPES registry on February 28, 2018.

Where is Family Center Vitalehealth PLLC located?

Family Center Vitalehealth PLLC is located at 1020 Flower Mound Rd Ste 100, Flower Mound, TX 75028. The listed phone number is (972) 410-0042.

What is Family Center Vitalehealth PLLC's specialty?

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

Is Family Center Vitalehealth PLLC enrolled in Medicare?

Yes. Family Center Vitalehealth PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Center Vitalehealth PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Center Vitalehealth PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Center Vitalehealth 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 Family Center Vitalehealth PLLC was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.