VITALITY HEALTHCARE PC
NPI 1770954703
Family Medicine in Portage, MI
About Vitality Healthcare Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALITY HEALTHCARE PC (NPI 1770954703) is a healthcare organization registered as a family medicine in Portage, Michigan and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists James T Joseph, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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 Healthcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Vitality Healthcare PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2127510
Vitality Healthcare PC · Portage, MIFrequently 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 Healthcare PC's NPI number?
The NPI number for Vitality Healthcare PC is 1770954703. It was assigned to this organization in the NPPES registry on October 16, 2015.
Where is Vitality Healthcare PC located?
Vitality Healthcare PC is located at 5717 Oakland Dr Ste A, Portage, MI 49024. The listed phone number is (269) 323-4473.
What is Vitality Healthcare PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Vitality Healthcare PC enrolled in Medicare?
Yes. Vitality Healthcare PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitality Healthcare PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Vitality Healthcare PC. 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. The largest specialties are Nurse Practitioner (6), Chiropractic (3) and Family Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vitality Healthcare PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2127510) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vitality Healthcare PC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Vitality Healthcare PC 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 Healthcare PC was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 Healthcare Pc · NPI 1770954703
Family Medicine organization in Portage, Michigan. Organization record, active in the CMS NPPES registry since October 16, 2015.
## Identity
- **NPI:** 1770954703 (Entity type: Organization)
- **Enumerated:** October 16, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** James Joseph, PRESIDENT
## Practice location
- **Address:** 5717 OAKLAND DR, STE A, Portage, MI 49024-1116
- **Phone:** (269) 323-4473 · **Fax:** (269) 324-0755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Chiropractic (3), Family Practice (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2016
- **Other identifiers:** Medicare NSC 7547270001 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770954703) · Data from the CMS NPPES public registry.