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VITALGENIX HEALTH & WELLNESS, LLC
NPI 1427428887
Internal Medicine in Lake Mary, FL

Active since September 29, 2015CLIA 10D2099192 · Waiver
1325 S INTERNATIONAL PKWY, SUITE 2241, LAKE MARY, FL 32746(407) 636-9663(407) 636-9664 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vitalgenix Health & Wellness, Llc NPPES

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

VITALGENIX HEALTH & WELLNESS, LLC (NPI 1427428887) is a healthcare organization registered as an internal medicine in Lake Mary, Florida and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Raul Enrique Tamayo, Owner, as its authorized official.

NPPES Registry Identity

NPI1427428887
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVITALGENIX HEALTH & WELLNESS, LLC
Location Address1325 S INTERNATIONAL PKWY, SUITE 2241Lake Mary, FL 32746-1695
Mailing Address1325 S International Pkwy, Suite 2241Lake Mary, FL 32746-1695 · (407) 636-9663 · Fax (407) 636-9664
Phone(407) 636-9663
Fax(407) 636-9664
Organization SubpartNo
Authorized OfficialRaul Enrique TamayoOwner · (407) 636-9663
Enumeration DateSeptember 29, 2015
✔ NPI 1427428887 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.
1325 S INTERNATIONAL PKWY, Lake Mary, FL 32746
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Other Identifiers 1

Medicare UPIND50997FL

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)

Vitalgenix Health & Wellness, Llc 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 Vitalgenix Health & Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raul Tamayo, M.D.
Internal Medicine
NPI 1568437689
1325 S INTERNATIONAL PKWY SUITE 2241
Lake Mary, FL 32746
(407) 636-9663
✔ 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.

CLIA Laboratory Certificates CMS CLIA

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 10D2099192

Vital Genix Health And Wellness LLC · Lake Mary, FL
Active · expires Jul 21, 2027
CLIA Number10D2099192
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorRaul E. Tamayo
Laboratory Phone(407) 636-9663
Laboratory LocationVital Genix Health And Wellness LLC125 Waymont Court Suite 11, Lake Mary, FL 32746
CLIA data matches this NPI record on: 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 Vitalgenix Health & Wellness, LLC's NPI number?

The NPI number for Vitalgenix Health & Wellness, LLC is 1427428887. It was assigned to this organization in the NPPES registry on September 29, 2015.

Where is Vitalgenix Health & Wellness, LLC located?

Vitalgenix Health & Wellness, LLC is located at 1325 S International Pkwy Suite 2241, Lake Mary, FL 32746. The listed phone number is (407) 636-9663.

What is Vitalgenix Health & Wellness, LLC's specialty?

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

Is Vitalgenix Health & Wellness, LLC enrolled in Medicare?

Yes. Vitalgenix Health & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitalgenix Health & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Vitalgenix Health & Wellness, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vitalgenix Health & Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2099192) is associated with this NPI, valid through July 21, 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 Vitalgenix Health & Wellness, LLC was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.