NPIMap

Organization Active NPI

Vitality Visiting Physicians, PLLC

  • General Practice Physician
  • Garden City, MI
National Provider Identifier
1073230876
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VITALITY VISITING PHYSICIANS, PLLC
Practice address
29217 Ford Rd Ste 109
Garden City, MI 48135-2890
Phone
(248) 862-5311
Fax
(248) 671-0175
NPI assigned
Oct 21, 2022
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Varsha BaldridgeNPI 1497359228
Title
Owner
Phone
(248) 862-5311

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU
General Practice Physician 208D00000X NU Primary
Podiatrist 213E00000X NU

Addresses

Primary practice location

29217 Ford Rd Ste 109
Garden City, MI 48135-2890

Mailing address

4007 Carpenter Rd # 391
Ypsilanti, MI 48197-9644
Phone (248) 862-5311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221123000751 MI Part B Supplier - Clinic/Group Practice 2961870969 Receives reassigned benefits from 21 practitioners
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Locations

29217 Ford Rd
Ste 109
Garden City, MI 48135

16250 Northland Dr
Ste 318
Southfield, MI 48075
Phone (248) 862-5311

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1073230876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 CARPENTER RD # 391",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979644",
            "telephone_number": "248-862-5311",
            "fax_number": "248-671-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29217 FORD RD STE 109",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352890",
            "telephone_number": "248-862-5311",
            "fax_number": "248-671-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY VISITING PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "BALDRIDGE",
        "authorized_official_first_name": "VARSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-862-5311"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.