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VITALIZE MEDICAL VASCULAR AND WELLNESS CENTER LLC
NPI 1366202764
Internal Medicine in Laurel, MD

Active since March 21, 2024
9201 CHERRY LANE, LAUREL, MD 20708(301) 497-1590(240) 334-4781 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vitalize Medical Vascular And Wellness Center Llc NPPES

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

VITALIZE MEDICAL VASCULAR AND WELLNESS CENTER LLC (NPI 1366202764) is a healthcare organization registered as an internal medicine in Laurel, Maryland and active in the NPI registry since March 2024. The organization lists Ayana Seibles, Owner, as its authorized official.

NPPES Registry Identity

NPI1366202764
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVITALIZE MEDICAL VASCULAR AND WELLNESS CENTER LLC
Location Address9201 CHERRY LANELaurel, MD 20708
Mailing Address9201 Cherry LaneLaurel, MD 20708 · (301) 497-1590
Phone(301) 497-1590
Fax(240) 334-4781
Organization SubpartNo
Authorized OfficialAyana SeiblesOwner · (301) 497-1590
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1366202764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9201 CHERRY LANE, Laurel, MD 20708
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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)

Vitalize Medical Vascular And Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vitalize Medical Vascular And Wellness Center 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)

Ayana Seibles, D.O.
Internal Medicine
NPI 1750540084
9201 CHERRY LN
Laurel, MD 20708
(301) 497-1590
✔ PECOS✔ Accepts MedicareSame address
Jeffery Dormu, D.O.
Vascular Surgery
NPI 1366430316
8730 CHERRY LANE SUITE 10
Laurel, MD 20707
(301) 497-1590
✔ PECOS0.4 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 Vitalize Medical Vascular And Wellness Center LLC's NPI number?

The NPI number for Vitalize Medical Vascular And Wellness Center LLC is 1366202764. It was assigned to this organization in the NPPES registry on March 21, 2024.

Where is Vitalize Medical Vascular And Wellness Center LLC located?

Vitalize Medical Vascular And Wellness Center LLC is located at 9201 Cherry Lane, Laurel, MD 20708. The listed phone number is (301) 497-1590.

What is Vitalize Medical Vascular And Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vitalize Medical Vascular And Wellness Center LLC enrolled in Medicare?

Yes. Vitalize Medical Vascular And Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitalize Medical Vascular And Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vitalize Medical Vascular And Wellness Center LLC, in Internal Medicine and Vascular Surgery. 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.

When was this NPI record last updated?

The NPPES record for Vitalize Medical Vascular And Wellness Center LLC was last updated on March 21, 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.