Organization Active NPI

Vida Womens Health PLLC

  • Obstetrics & Gynecology Physician
  • Roseville, MI
National Provider Identifier
1043027840
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VIDA WOMENS HEALTH PLLC
Practice address
19011 E 10 Mile Rd
Roseville, MI 48066-3901
Phone
(313) 938-6687
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Aldo Rafael Nunez Hruska, MDNPI 1861877730
Title
OBGYN, Ceo/Cmo
Phone
(313) 938-6687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

19011 E 10 Mile Rd
Roseville, MI 48066-3901

Mailing address

16555 E Jefferson Ave
Grosse Pointe Park, MI 48230-1428
Phone (313) 938-6687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250425001473 MI Part B Supplier - Clinic/Group Practice 0749710747 Receives reassigned benefits from 1 practitioner
Practice locations: Grosse Pointe Park, MI

National Provider Directory

National Provider Directory

Locations

19011 E 10 Mile Rd
Roseville, MI 48066
Phone (586) 221-0230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1043027840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16555 E JEFFERSON AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301428",
            "telephone_number": "313-938-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19011 E 10 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663901",
            "telephone_number": "313-938-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA WOMENS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "NUNEZ HRUSKA",
        "authorized_official_first_name": "ALDO",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "OBGYN, CEO/CMO",
        "authorized_official_telephone_number": "313-938-6687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.

Verify at the official NPI Registry.