VIDA MEDICAL CLINIC LLC
NPI 1356967475
General Practice in Kissimmee, FL
About Vida Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIDA MEDICAL CLINIC LLC (NPI 1356967475) is a healthcare organization registered as a general practice in Kissimmee, Florida and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through September 7, 2027, maintains a secondary practice location in Orlando, and lists Karem M Feeley, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vida Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Vida Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 10D2235271
Vida Medical Clinic LLC · Orlando, FLCertificate of Waiver 10D2195301
Vida Medical Clinic LLC · Kissimmee, FLFrequently 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 Vida Medical Clinic LLC's NPI number?
The NPI number for Vida Medical Clinic LLC is 1356967475. It was assigned to this organization in the NPPES registry on June 24, 2020.
Where is Vida Medical Clinic LLC located?
Vida Medical Clinic LLC is located at 1960 E Osceola Pkwy, Kissimmee, FL 34743. The listed phone number is (407) 978-6400.
What is Vida Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Vida Medical Clinic LLC enrolled in Medicare?
Yes. Vida Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vida Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vida Medical Clinic LLC, in General 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vida Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2235271) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vida Medical Clinic LLC was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Vida Medical Clinic Llc · NPI 1356967475
General Practice organization in Kissimmee, Florida. Organization record, active in the CMS NPPES registry since June 24, 2020.
## Identity
- **NPI:** 1356967475 (Entity type: Organization)
- **Enumerated:** June 24, 2020
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Karem Feeley, ADMINISTRATOR
## Practice location
- **Address:** 1960 E OSCEOLA PKWY, Kissimmee, FL 34743-8626
- **Phone:** (407) 978-6400 · **Fax:** (407) 530-4326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 2, 2023
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356967475) · Data from the CMS NPPES public registry.