VINTAGE CFM
NPI 1770237620
Clinic/Center - Primary Care in Katy, TX
About Vintage Cfm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VINTAGE CFM (NPI 1770237620) is a healthcare organization registered as a primary care in Katy, Texas and active in the NPI registry since February 2022. The organization lists Jose Arevalo, Nurse Practitioner/medical Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Vintage Cfm 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 Vintage Cfm, 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 Vintage Cfm's NPI number?
The NPI number for Vintage Cfm is 1770237620. It was assigned to this organization in the NPPES registry on February 9, 2022. The provider is also known as Vintage Wellness Clinic.
Where is Vintage Cfm located?
Vintage Cfm is located at 464 Park Grove Dr Ste B, Katy, TX 77450. The listed phone number is (832) 449-8411.
What is Vintage Cfm's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Vintage Cfm enrolled in Medicare?
Yes. Vintage Cfm is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vintage Cfm?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vintage Cfm. 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 Vintage Cfm accept?
Health plans from Blue Cross and Blue Shield of Texas list Vintage Cfm 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 Vintage Cfm was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Vintage Cfm · NPI 1770237620
Primary Care organization in Katy, Texas. Organization record, active in the CMS NPPES registry since February 9, 2022.
## Identity
- **NPI:** 1770237620 (Entity type: Organization)
- **Enumerated:** February 9, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Vintage Wellness Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Jose Arevalo, NURSE PRACTITIONER/MEDICAL PROVIDER
## Practice location
- **Address:** 464 PARK GROVE DR STE B, Katy, TX 77450-1571
- **Phone:** (832) 449-8411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1770237620) · Data from the CMS NPPES public registry.