Vitals Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M6396 Issued in TX

Legal business name

VITALS FAMILY MEDICINE PLLC

Practice address

1420 W Exchange Pkwy Ste 120
Allen, TX 75013-4696

Phone

(972) 521-6210

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Roopam ShyamNPI 1417152182

Title

Owner

Phone

(972) 521-6210

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roopam Shyam, M.D.

  • Family Medicine Physician
  • Allen, TX
  • NPI 1417152182
  Medicare reassignment NPD Authorized official
• May Kim, M.D.

  • Family Medicine Physician
  • Flower Mound, TX
  • NPI 1386844744
  NPD

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174046452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 HIGH COUNTRY WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254781",
            "telephone_number": "972-521-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W EXCHANGE PKWY STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134696",
            "telephone_number": "972-521-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 West Exchange Parkway",
            "address_2": "Suite #120",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TN",
            "postal_code": "75013",
            "country_code": "US",
            "telephone_number": "972-521-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITALS FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHYAM",
        "authorized_official_first_name": "ROOPAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-521-6210",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M6396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elise Villarreal, BCBA
• Vintage Family Care, LLC
• Virginia Mae King Foundation
• Visionworks, Inc.
• Vitality Care LLC
• Vitalsfusion Primary Care PLLC
• Vitalsfusion Urgent Care PLLC
• Heather Elizabeth Vite
• Vivian'S Personal Health Services
• VJ Services Group Inc.

• Family Medicine Physician in Allen, TX
• Providers in Allen, 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 Jul 21, 2022; 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.