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ACTIVE VITAL CARE LLC
NPI 1326825092
Family Medicine in Phoenix, AZ

Active since September 14, 2023
1928 E HIGHLAND AVE STE F104, PHOENIX, AZ 85016(833) 242-0100(623) 889-0814 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2023, Oct 12, 2023 (2 updates tracked since 2023).

About Active Vital Care Llc NPPES

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

ACTIVE VITAL CARE LLC (NPI 1326825092) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since September 2023. The organization lists Drew Sturgis, Owner, as its authorized official.

NPPES Registry Identity

NPI1326825092
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACTIVE VITAL CARE LLC
Location Address1928 E HIGHLAND AVE STE F104Phoenix, AZ 85016-4626
Mailing AddressPo Box 755Scottsdale, AZ 85252-0755 · (833) 242-0100 · Fax (623) 889-0814
Phone(833) 242-0100
Fax(623) 889-0814
Organization SubpartNo
Authorized OfficialDrew SturgisOwner · (661) 644-1259
Enumeration DateSeptember 14, 2023
Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1326825092 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.
1928 E HIGHLAND AVE STE F104, Phoenix, AZ 85016
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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)

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

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Active Vital Care LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner22
Podiatry6
Family Practice2
Cardiovascular Disease (Cardiology)1
Chiropractic1
General Practice1

Nearest to this location (20)

See all 33
Ismita Demuro, APRN
Nurse Practitioner
NPI 1306789722
2375 E CAMELBACK RD STE 600
Phoenix, AZ 85016
(833) 242-0100
✔ PECOS✔ Accepts Medicare0.6 mi
Carissa Abe, D.C.
Chiropractic
NPI 1376987875
3033 N 44TH ST STE 100
Phoenix, AZ 85018
(602) 648-5444
✔ Accepts Medicare3.6 mi
Daniel Kiddy, DPM
Podiatry
NPI 1144214529
PO BOX 755
Scottsdale, AZ 85252
(833) 242-0100
✔ PECOS✔ Accepts Medicare9.1 mi
Renae Mitchell, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1205432705
17223 N CAVE CREEK RD UNIT 9
Phoenix, AZ 85032
(480) 738-3221
✔ PECOS✔ Accepts Medicare9.5 mi
Kevin Broaddrick, DPM
Podiatry
NPI 1639188394
6739 W CACTUS RD
Peoria, AZ 85381
(833) 242-0100
✔ PECOS11 mi
Carlos Montes Domini, M.D.
General Practice
NPI 1528043429
6739 W CACTUS RD
Peoria, AZ 85381
(623) 562-0015
✔ PECOS✔ Accepts Medicare11 mi
Kristen Murray, D.P.M.
Podiatry
NPI 1528346145
6739 W CACTUS RD
Peoria, AZ 85381
(833) 242-0100
✔ PECOS✔ Accepts Medicare11 mi
Kristina Werner, N.P.
Nurse Practitioner
NPI 1174506547
5779 E MAYO BLVD
Phoenix, AZ 85054
(480) 301-8000
✔ PECOS✔ Accepts Medicare12 mi
Rajesh Daulat, DPM
Podiatry
NPI 1467567883
6677 W THUNDERBIRD RD STE J171-172
Glendale, AZ 85306
(623) 977-6245
✔ PECOS✔ Accepts Medicare12 mi
Randy Mallari, PMHNP-BC/C, FNP-BC/C
Nurse Practitioner
NPI 1306198429
10901 E MCDOWELL RD
Scottsdale, AZ 85256
(480) 278-7742
✔ PECOS✔ Accepts Medicare12 mi
Rex Doctor
Nurse Practitioner
NPI 1376433995
8515 W LAMAR RD
Glendale, AZ 85305
(602) 907-6840
✔ PECOS✔ Accepts Medicare12 mi
Richard Wall, M.D.
Family Practice
NPI 1811971393
19841 N 27TH AVE STE. 101
Phoenix, AZ 85027
(602) 942-8512
✔ PECOS✔ Accepts Medicare12 mi
Rebecca Schoenherr, APNP
Nurse Practitioner
NPI 1255582359
9435 W PEORIA AVE
Peoria, AZ 85345
(623) 583-4848
✔ PECOS✔ Accepts Medicare14 mi
Anne Ngaruiya
Nurse Practitioner
NPI 1962109785
1350 E MCKELLIPS RD
Mesa, AZ 85203
(480) 608-4877
✔ PECOS✔ Accepts Medicare14 mi
Doris Tih, NP
Nurse Practitioner
NPI 1942990783
1360 N BULLARD AVE
Goodyear, AZ 85395
(310) 940-2265
✔ PECOS✔ Accepts Medicare20 mi
Alyssa Gentile
Nurse Practitioner
NPI 1144017310
1722 E BRUCE AVE
Gilbert, AZ 85234
(630) 292-8101
✔ PECOS20 mi
Jenny Miller, FNP-C
Nurse Practitioner
NPI 1558173864
1495 N HIGLEY RD STE 104
Gilbert, AZ 85234
(480) 677-8282
✔ PECOS✔ Accepts Medicare21 mi
Dien Do, NP
Nurse Practitioner
NPI 1609326289
6553 E BAYWOOD AVE STE 201
Mesa, AZ 85206
(480) 467-2273
✔ PECOS✔ Accepts Medicare21 mi
Nkemdirim Obiora, NP-C
Nurse Practitioner
NPI 1497258727
14973 W BELL RD STE 100
Surprise, AZ 85374
(623) 934-1245
✔ PECOS✔ Accepts Medicare22 mi
Bradley Hughes, M.D.
Family Practice
NPI 1821318262
14780 W MOUNTAIN VIEW BLVD SUITE 110
Surprise, AZ 85374
(623) 374-7774
✔ PECOS✔ Accepts Medicare22 mi
See all 33 clinicians

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 Active Vital Care LLC's NPI number?

The NPI number for Active Vital Care LLC is 1326825092. It was assigned to this organization in the NPPES registry on September 14, 2023.

Where is Active Vital Care LLC located?

Active Vital Care LLC is located at 1928 E Highland Ave Ste F104, Phoenix, AZ 85016. The listed phone number is (833) 242-0100.

What is Active Vital Care LLC's specialty?

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

Is Active Vital Care LLC enrolled in Medicare?

Yes. Active Vital Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Vital Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 6 Medicare specialties reassign their Medicare billing to Active Vital 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 (22), Podiatry (6) and Family Practice (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Active Vital Care LLC accept?

Health plans from Imperial Insurance Companies, Inc. list Active Vital 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 Active Vital Care LLC was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.