Active NPI
Vitalus Airway LLC
- Durable Medical Equipment & Medical Supplies
- Houston, TX
National Provider Identifier
1033736012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- VITALUS AIRWAY LLC
- Practice address
- 6300 N Main St Ste 101B
Houston, TX 77009-2435 - Phone
- (281) 768-4623
- NPI assigned
- Jun 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kautilya Patel
- Title
- Ceo
- Phone
- (281) 968-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6300 N Main St Ste 101B
Houston, TX 77009-2435
Mailing address
2727 Allen Pkwy Ste 1915
Houston, TX 77019-2177
Phone (281) 768-4623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200714002789 | TX | DME Supplier - Medical Supply Company | 7113340712 | Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryLocations
6300 N Main St
Ste 101B
Houston, TX 77009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1033736012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 ALLEN PKWY STE 1915",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770192177",
"telephone_number": "281-768-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 N MAIN ST STE 101B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770092435",
"telephone_number": "281-768-4623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALUS AIRWAY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-25",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KAUTILYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "281-968-2300"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.