RYAN VITALI, M.D., A PROFESSIONAL CORPORATION
NPI 1265808406
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Roseville, CA

Q: What is Ryan Vitali, M.D., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Active since August 11, 2015

1451 SECRET RAVINE PKWY STE 150, ROSEVILLE, CA 95661(310) 613-5994 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ryan Vitali, M.d., A Professional Corporation NPPES

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

RYAN VITALI, M.D., A PROFESSIONAL CORPORATION (NPI 1265808406) is a healthcare organization registered as an adult reconstructive orthopaedic surgery in Roseville, California and active in the NPI registry since August 2015. The organization lists Ryan Vitali, President/cfo, as its authorized official.

NPPES Registry Identity

NPI1265808406

Entity TypeOrganization

Primary Taxonomy207XS0114X

Legal Business NameRYAN VITALI, M.D., A PROFESSIONAL CORPORATION

Location Address1451 SECRET RAVINE PKWY STE 150Roseville, CA 95661-6052

Mailing Address1451 Secret Ravine Pkwy Ste 150Roseville, CA 95661-6052 · (310) 613-5994

Phone(310) 613-5994

Organization SubpartNo

Authorized OfficialRyan VitaliPresident/cfo · (310) 709-3349

Enumeration DateAugust 11, 2015

Last NPPES UpdateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1265808406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X

1451 SECRET RAVINE PKWY STE 150, Roseville, CA 95661

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Ryan Vitali, M.d., A Professional Corporation 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 Ryan Vitali, M.D., A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Vitali, M.D.

Orthopedic Surgery

NPI 1801037692

1451 SECRET RAVINE PKWY STE 150
Roseville, CA 95661

(916) 472-6566

✔ PECOS✔ Accepts MedicareSame 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 Ryan Vitali, M.D., A Professional Corporation's NPI number?

The NPI number for Ryan Vitali, M.D., A Professional Corporation is 1265808406. It was assigned to this organization in the NPPES registry on August 11, 2015.

Where is Ryan Vitali, M.D., A Professional Corporation located?

Ryan Vitali, M.D., A Professional Corporation is located at 1451 Secret Ravine Pkwy Ste 150, Roseville, CA 95661. The listed phone number is (310) 613-5994.

What is Ryan Vitali, M.D., A Professional Corporation's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Ryan Vitali, M.D., A Professional Corporation enrolled in Medicare?

Yes. Ryan Vitali, M.D., A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ryan Vitali, M.D., A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Ryan Vitali, M.D., A Professional Corporation. 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.

When was this NPI record last updated?

The NPPES record for Ryan Vitali, M.D., A Professional Corporation was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.