VITALITY HEALTH CLINIC PLLC
NPI 1689430407
Family Medicine in Dearborn Heights, MI
About Vitality Health Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY HEALTH CLINIC PLLC (NPI 1689430407) is a healthcare organization registered as a family medicine in Dearborn Heights, Michigan and active in the NPI registry since February 2024. The organization lists Rawya Kazan, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Vitality Health Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vitality Health Clinic PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Health Clinic PLLC's NPI number?
The NPI number for Vitality Health Clinic PLLC is 1689430407. It was assigned to this organization in the NPPES registry on February 28, 2024.
Where is Vitality Health Clinic PLLC located?
Vitality Health Clinic PLLC is located at 4245 S Beech Daly St Ste 102, Dearborn Heights, MI 48125. The listed phone number is (313) 414-0703.
What is Vitality Health Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Vitality Health Clinic PLLC enrolled in Medicare?
Yes. Vitality Health Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitality Health Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Vitality Health Clinic PLLC, 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Vitality Health Clinic PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Vitality Health Clinic PLLC 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 Vitality Health Clinic PLLC was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Vitality Health Clinic Pllc · NPI 1689430407
Family Medicine organization in Dearborn Heights, Michigan. Organization record, active in the CMS NPPES registry since February 28, 2024.
## Identity
- **NPI:** 1689430407 (Entity type: Organization)
- **Enumerated:** February 28, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Rawya Kazan, NURSE PRACTITIONER
## Practice location
- **Address:** 4245 S BEECH DALY ST STE 102, Dearborn Heights, MI 48125-1576
- **Phone:** (313) 414-0703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689430407) · Data from the CMS NPPES public registry.