BLUE DOLPHIN MEDICAL SERVICES LLC
NPI 1679421523
Family Medicine in Port St Lucie, FL
About Blue Dolphin Medical Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE DOLPHIN MEDICAL SERVICES LLC (NPI 1679421523), doing business as Vitalis Coastal Family Medicine, is a healthcare organization registered as a family medicine in Port St Lucie, Florida and active in the NPI registry since March 2026. The organization lists Alejandro David Vando Pedrosa, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Dolphin Medical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Blue Dolphin Medical Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Blue Dolphin Medical Services LLC's NPI number?
The NPI number for Blue Dolphin Medical Services LLC is 1679421523. It was assigned to this organization in the NPPES registry on March 17, 2026. The provider is doing business as Vitalis Coastal Family Medicine.
Where is Blue Dolphin Medical Services LLC located?
Blue Dolphin Medical Services LLC is located at 8491 S Us Highway 1 Ste 15, Port St Lucie, FL 34952. The listed phone number is (772) 530-1346.
What is Blue Dolphin Medical Services LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Blue Dolphin Medical Services LLC enrolled in Medicare?
Yes. Blue Dolphin Medical Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Dolphin Medical Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Blue Dolphin Medical Services LLC, in Family Practice 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, 1 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 Blue Dolphin Medical Services LLC was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.
# Blue Dolphin Medical Services Llc · NPI 1679421523
Family Medicine organization in Port St Lucie, Florida. Organization record, active in the CMS NPPES registry since March 17, 2026.
## Identity
- **NPI:** 1679421523 (Entity type: Organization)
- **Enumerated:** March 17, 2026
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** VITALIS COASTAL FAMILY MEDICINE (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Alejandro Vando Pedrosa, OWNER
## Practice location
- **Address:** 8491 S US HIGHWAY 1 STE 15, Port St Lucie, FL 34952-3360
- **Phone:** (772) 530-1346
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679421523) · Data from the CMS NPPES public registry.