Organization Active NPI

Health Vax LLC

  • Public Health or Welfare Agency
  • Columbus, OH
National Provider Identifier
1083423875
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HEALTH VAX LLC
Practice address
1264 N Wilson Rd
Columbus, OH 43204-1574
Phone
(502) 322-7622
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Catherine Rae Keats
Title
Chief Operating Officer
Phone
(502) 322-7622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1264 N Wilson Rd
Columbus, OH 43204-1574

Mailing address

1744 Oak Ave
Evanston, IL 60201-2287
Phone (502) 322-7622

Other practice location 1

6501 S Cass Ave
Westmont, IL 60559-3200
Phone (630) 960-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, OH, NY, NC, VA, FL, MI8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20250707001266 IN Part B Supplier - Mass Immunization (Roster Biller Only) 0840704573 Practice locations: Highland, IN
O20250708003851 IL Part B Supplier - Mass Immunization (Roster Biller Only) 0840704573 Practice locations: Evanston, IL
O20250725003899 OH Part B Supplier - Mass Immunization (Roster Biller Only) 0840704573 Practice locations: Columbus, OH
O20250805000852 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0840704573 Practice locations: Cedarhurst, NY
O20250806002941 NC Part B Supplier - Mass Immunization (Roster Biller Only) 0840704573 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC
O20250818000621 VA Part B Supplier - Mass Immunization (Roster Biller Only) 0840704573 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA
O20250820002413 FL Part B Supplier - Mass Immunization (Roster Biller Only) 0840704573 Practice locations: Fort Lauderdale, FL
O20250903001408 MI Part B Supplier - Mass Immunization (Roster Biller Only) 0840704573 Practice locations: Plymouth, MI

National Provider Directory

National Provider Directory

Locations

2900 NW 60th St
Ft Lauderdale, FL 33309
Phone (800) 589-9747

9131 General Ct
Plymouth, MI 48170
Phone (502) 322-7622

3300 Monroe Rd
Charlotte, NC 28205
Phone (502) 322-7622

5375B Henneman Dr
Norfolk, VA 23513
Phone (502) 322-7622

Practitioners & affiliated clinicians

Practitioners 2

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": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1083423875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 OAK AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012287",
            "telephone_number": "502-322-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 N WILSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041574",
            "telephone_number": "502-322-7622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 S Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605593200",
            "country_code": "US",
            "telephone_number": "630-960-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH VAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "KEATS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "502-322-7622"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.