Family Center Vitalehealth PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY CENTER VITALEHEALTH PLLC

Practice address

1020 Flower Mound Rd Ste 100
Flower Mound, TX 75028-3440

Phone

(972) 410-0042

Fax

(972) 410-0044

NPI assigned

Feb 28, 2018

Last updated

Jun 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph M Kim, MDNPI 1992905376

Title

Ceo

Phone

(972) 410-0042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Joseph M Kim, M.D.

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1992905376
  Medicare reassignment Care Compare group Authorized official
• May Kim, M.D.

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1386844744
  Medicare reassignment Care Compare group NPD
• Jimi Kim, FNP-C

  • Family Nurse Practitioner
  • McKinney, TX
  • NPI 1730884990
  Medicare reassignment NPD
• Mohan Penmetcha, M.D.

  • Rheumatology Physician
  • Carrollton, TX
  • NPI 1578514667
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1174025746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FLOWER MOUND RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283440",
            "telephone_number": "972-410-0024",
            "fax_number": "972-410-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FLOWER MOUND RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283440",
            "telephone_number": "972-410-0042",
            "fax_number": "972-410-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CENTER VITALEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-410-0042",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesandu Ezenwa
• Faac, PA (Family Allergy and Asthma CARE)
• John Lawrence Fairbanks, MD
• Irene Fait, BCBA
• Rachel Falbo, LPC, LMFTA
• Family Hearing Practice, PLLC
• Kandace B. Farmer, D.O.
• Fast Cactus Enterprise
• Shavaun Fawcett, LPC
• Melanie Feilen, OTR

• Family Medicine Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.