VITAL4MEN LLC
NPI 1639443757
General Practice in Peoria, AZ
About Vital4men Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL4MEN LLC (NPI 1639443757) is a healthcare organization registered as a general practice in Peoria, Arizona and active in the NPI registry since March 2012. The organization lists Todd Dishon, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vital4men 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 Vital4men 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 Vital4men LLC's NPI number?
The NPI number for Vital4men LLC is 1639443757. It was assigned to this organization in the NPPES registry on March 7, 2012.
Where is Vital4men LLC located?
Vital4men LLC is located at 7707 W Deer Valley Rd 115, Peoria, AZ 85382. The listed phone number is (623) 218-1515.
What is Vital4men LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Vital4men LLC enrolled in Medicare?
Yes. Vital4men LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vital4men LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Vital4men 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.
What insurance does Vital4men LLC accept?
Health plans from Avera Health Plans list Vital4men LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Vital4men LLC was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Vital4men Llc · NPI 1639443757
General Practice organization in Peoria, Arizona. Organization record, active in the CMS NPPES registry since March 7, 2012.
## Identity
- **NPI:** 1639443757 (Entity type: Organization)
- **Enumerated:** March 7, 2012
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Todd Dishon, MANAGING PARTNER
## Practice location
- **Address:** 7707 W DEER VALLEY RD, 115, Peoria, AZ 85382-2101
- **Phone:** (623) 218-1515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1639443757) · Data from the CMS NPPES public registry.