NPIMap

Organization Active NPI

Forefront-Rush Medical Service PA

  • Psychiatry Physician
  • Amarillo, TX
National Provider Identifier
1083036651
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FOREFRONT-RUSH MEDICAL SERVICE PA
Practice address
1901 Medi Park Dr Ste 2058
Amarillo, TX 79106-2109
Phone
(254) 624-3999
NPI assigned
Jan 15, 2014
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Sara Vitullo
Title
Director Payer Operations
Phone
(469) 895-9275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1901 Medi Park Dr Ste 2058
Amarillo, TX 79106-2109

Mailing address

1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone (972) 449-0540

Other practice location 1

15205 Traditions Lake Pkwy
Edmond, OK 73013-1198
Phone (866) 959-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140222000095 TX Part B Supplier - Clinic/Group Practice 4486884285 Receives reassigned benefits from 91 practitioners
Practice locations: Amarillo, TX
O20170608002204 OK Part B Supplier - Clinic/Group Practice 4486884285 Receives reassigned benefits from 17 practitioners
Practice locations: Ardmore, OK; Duncan, OK; Edmond, OK; Elk City, OK

National Provider Directory

National Provider Directory

Locations

1526 S Virginia Ave
Atoka, OK 74525
Phone (580) 889-2500

1061 N Service Rd
Calera, OK 74730
Phone (580) 434-5727

1100 E St NE
Miami, OK 74354
Phone (918) 542-3335

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

7308 Fleming Ave
Amarillo, TX 79106
Phone (412) 605-4866

2104 N Karnes Ave
#L
Cameron, TX 76520

701 S Market St
Carthage, TX 75633
Phone (903) 693-6671

2550 Zacatecas Dr
Eagle Pass, TX 78852
Phone (830) 773-4488

1616 S Jackson St
Jacksonville, TX 75766

144 Bulldog Ave
Jasper, TX 75951
Phone (409) 381-8500

1305 Tulane Dr
Lufkin, TX 75901

1617 N Hobart St
Pampa, TX 79065

118 Church St
Sulphur Springs, TX 75482

1506 Childress St
Wellington, TX 79095
Phone (806) 447-2513

Practitioners & affiliated clinicians

Practitioners 105

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 105

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1083036651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317",
            "telephone_number": "972-449-0540",
            "fax_number": "972-449-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2058",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109",
            "telephone_number": "254-624-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15205 Traditions Lake Pkwy",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730131198",
            "country_code": "US",
            "telephone_number": "866-959-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOREFRONT-RUSH MEDICAL SERVICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "VITULLO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR PAYER OPERATIONS",
        "authorized_official_telephone_number": "469-895-9275"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.