Individual provider Active NPI

Josie Vitale, M.D.

  • Allergy Physician
  • Saint Louis, MO
National Provider Identifier
1063641223
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
2012013478 Issued in MO
Practice address
9701 Landmark Parkway Dr
Suite 207
Saint Louis, MO 63127-1665
Phone
(314) 849-8700
Fax
(314) 849-8737
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2009014225 MO
Allergy Physician 207KA0200X 2012013478 MO Primary

Addresses

Primary practice location

9701 Landmark Parkway Dr
Suite 207
Saint Louis, MO 63127-1665

Mailing address

9701 Landmark Parkway Dr
Suite 207
Saint Louis, MO 63127-1665
Phone (314) 849-8700

Other names 1

  • Josie Vitale Lorbert Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151111001627 MO Practitioner - Allergy/Immunology 4789990094 Reassigns benefits to 1 organization
I20200309001952 IL Practitioner - Allergy/Immunology 4789990094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Vanderbilt University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy, Asthma and Sinus Care Center, LLCGroup PAC ID 5092817502, 11 clinicians

Practice addresses (Care Compare)

510 Fullerton Rd
Swansea, IL 62226-2970
Phone (314) 849-8700

9701 Landmark Pkwy Dr
Suite 207
Saint Louis, MO 63127-1665
Phone (314) 849-8700

Merit-based Incentive Payment System (MIPS)

Final score
92.36 of 100Reported as group
Quality
91.86
Improvement activities
40
Cost
85.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2012013478MOMDAllergy Physician
2009014225MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Sinus Care Center, LLC Allergy CurrentSince Oct 5, 2015 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

510 Fullerton Rd
Swansea, IL 62226
Phone (314) 849-8700

16216 Baxter Rd
Ste 299
Chesterfield, MO 63017
Phone (636) 530-9999

9701 Landmark Parkway Dr
Ste 207
Saint Louis, MO 63127
Phone (314) 842-4802

Interoperability endpoints

  • Direct secure messaging: josie.vitale@direct.aascare.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1063641223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 LANDMARK PARKWAY DR",
            "address_2": "SUITE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271665",
            "telephone_number": "314-849-8700",
            "fax_number": "314-849-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 LANDMARK PARKWAY DR",
            "address_2": "SUITE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271665",
            "telephone_number": "314-849-8700",
            "fax_number": "314-849-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "JOSIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2009014225",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MO",
            "license": "2012013478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSIE",
            "last_name": "LORBERT",
            "middle_name": "VITALE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.