VITALITY ADVANCED MOBILE HEALTHCARE PLLC
NPI 1609751072
Podiatrist in Phoenix, AZ

Active since August 06, 2025
4539 N 22ND ST STE N, PHOENIX, AZ 85016(623) 254-7111(623) 254-7100 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vitality Advanced Mobile Healthcare Pllc NPPES

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

VITALITY ADVANCED MOBILE HEALTHCARE PLLC (NPI 1609751072) is a healthcare organization registered as a podiatrist in Phoenix, Arizona and active in the NPI registry since August 2025. The organization lists Yehia Elebrashi, Member, as its authorized official.

NPPES Registry Identity

NPI1609751072
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameVITALITY ADVANCED MOBILE HEALTHCARE PLLC
Location Address4539 N 22ND ST STE NPhoenix, AZ 85016-4639
Mailing Address4539 N 22nd St Ste NPhoenix, AZ 85016-4639 · (623) 254-7111 · Fax (623) 254-7100
Fax(623) 254-7100
Organization SubpartNo
Authorized OfficialYehia ElebrashiMember · (623) 254-7111
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1609751072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
4539 N 22ND ST STE N, Phoenix, AZ 85016

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitality Advanced Mobile Healthcare Pllc 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 Vitality Advanced Mobile Healthcare PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1548615875
26900 N LAKE PLEASANT PKWY STE 202
Peoria, AZ 85383
(623) 254-7111
✔ PECOS✔ Accepts Medicare21 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 Vitality Advanced Mobile Healthcare PLLC's NPI number?

The NPI number for Vitality Advanced Mobile Healthcare PLLC is 1609751072. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Vitality Advanced Mobile Healthcare PLLC located?

Vitality Advanced Mobile Healthcare PLLC is located at 4539 N 22nd St Ste N, Phoenix, AZ 85016. The listed phone number is (623) 254-7111.

What is Vitality Advanced Mobile Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Vitality Advanced Mobile Healthcare PLLC enrolled in Medicare?

Yes. Vitality Advanced Mobile Healthcare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Advanced Mobile Healthcare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Vitality Advanced Mobile Healthcare PLLC. 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 Vitality Advanced Mobile Healthcare PLLC was last updated on August 6, 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.