NEW VIDA MEDICAL LLC
NPI 1508689274
Clinic/Center in Mesa, AZ

Active since November 01, 2024
3048 E BASELINE RD STE 122, MESA, AZ 85204(480) 497-5933 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About New Vida Medical Llc NPPES

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

NEW VIDA MEDICAL LLC (NPI 1508689274) is a healthcare organization registered as a clinic/center in Mesa, Arizona and active in the NPI registry since November 2024. The organization lists Rachel Popowych, Owner, as its authorized official.

NPPES Registry Identity

NPI1508689274
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNEW VIDA MEDICAL LLC
Location Address3048 E BASELINE RD STE 122Mesa, AZ 85204-7288
Mailing AddressPo Box 838Gilbert, AZ 85299-0838 · (480) 497-5933 · Fax (480) 497-5934
Organization SubpartNo
Authorized OfficialRachel PopowychOwner · (480) 497-5933
Enumeration DateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1508689274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3048 E BASELINE RD STE 122, Mesa, AZ 85204

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Vida Medical 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 New Vida Medical LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1073038824
3048 E BASELINE RD STE 122
Mesa, AZ 85204
(602) 980-8703
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1306100375
5358 E BASELINE RD
Mesa, AZ 85206
(602) 748-9187
✔ PECOS✔ Accepts Medicare2.9 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 New Vida Medical LLC's NPI number?

The NPI number for New Vida Medical LLC is 1508689274. It was assigned to this organization in the NPPES registry on November 1, 2024.

Where is New Vida Medical LLC located?

New Vida Medical LLC is located at 3048 E Baseline Rd Ste 122, Mesa, AZ 85204. The listed phone number is (480) 497-5933.

What is New Vida Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is New Vida Medical LLC enrolled in Medicare?

Yes. New Vida Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Vida Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to New Vida Medical LLC, in Internal Medicine 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, 2 practice 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 New Vida Medical LLC was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.