PRIME VITALITY LLC
NPI 1528641941
Clinic/Center in San Antonio, TX
About Prime Vitality Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME VITALITY LLC (NPI 1528641941), doing business as Prime Vitality Wellness, is a healthcare organization registered as a clinic/center in San Antonio, Texas and active in the NPI registry since May 2021. The organization lists Shiv Kumar Goel, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Vitality 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 Prime Vitality LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Prime Vitality LLC's NPI number?
The NPI number for Prime Vitality LLC is 1528641941. It was assigned to this organization in the NPPES registry on May 3, 2021. The provider is doing business as Prime Vitality Wellness and Vitality Medical.
Where is Prime Vitality LLC located?
Prime Vitality LLC is located at 10007 Huebner Rd Ste 302, San Antonio, TX 78240. The listed phone number is (210) 876-1635.
What is Prime Vitality LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Prime Vitality LLC enrolled in Medicare?
Yes. Prime Vitality LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Vitality LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prime Vitality 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.
When was this NPI record last updated?
The NPPES record for Prime Vitality LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Prime Vitality Llc · NPI 1528641941
Clinic/Center organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since May 3, 2021.
## Identity
- **NPI:** 1528641941 (Entity type: Organization)
- **Enumerated:** May 3, 2021
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** PRIME VITALITY WELLNESS (Doing Business As); Vitality Medical (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Shiv Goel, MEDICAL DIRECTOR
## Practice location
- **Address:** 10007 HUEBNER RD STE 302, San Antonio, TX 78240-1646
- **Phone:** (210) 876-1635 · **Fax:** (210) 761-6600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528641941) · Data from the CMS NPPES public registry.