Organization Active NPI

Vhi Medical Group, PA

  • Internal Medicine Physician
  • Castle Pines, CO
National Provider Identifier
1194317834
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VHI MEDICAL GROUP, PA
Practice address
6416 Sherman Peak CT
Castle Pines, CO 80108-9492
Phone
(248) 891-1268
NPI assigned
Feb 4, 2021
Last updated
Jun 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Mr. Jacob Keteyian
Title
President
Phone
(488) 911-2682

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

6416 Sherman Peak CT
Castle Pines, CO 80108-9492

Mailing address

38 Montvale Ave Ste 315
Stoneham, MA 02180-2446
Phone (248) 891-1268

Other practice location 1

1153 Barrington Place
Ann Arbor, MI 48103-5602
Phone (248) 891-1268

Other practice location 2

38 Montvale Ave Ste 315
Stoneham, MA 02180-2446
Phone (248) 891-1268

National Provider Directory

National Provider Directory

Locations

38 Montvale Ave
Ste 315
Stoneham, MA 02180
Phone (248) 891-1268

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1194317834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MONTVALE AVE STE 315",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802446",
            "telephone_number": "248-891-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 SHERMAN PEAK CT",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089492",
            "telephone_number": "248-891-1268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1153 Barrington Place",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481035602",
            "country_code": "US",
            "telephone_number": "248-891-1268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Montvale Ave Ste 315",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021802446",
            "country_code": "US",
            "telephone_number": "248-891-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VHI MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "KETEYIAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "488-911-2682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.