Vital Physician House Calls LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VITAL PHYSICIAN HOUSE CALLS LLC

Practice address

5068 W Plano Pkwy Ste 295C
Plano, TX 75093-4408

Phone

(972) 666-0786

Fax

(972) 666-0535

NPI assigned

May 11, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Mansoor Kazi, FNP-C

Title

Director

Phone

(972) 900-0207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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

• Corretta Danielle Barnes, NP

  • Family Nurse Practitioner
  • Mesquite, TX
  • NPI 1568071504
  Medicare reassignment NPD
• Lashandra Gray, AGACNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
  • NPI 1376900746
  Medicare reassignment NPD
• Sharon Mavis Adukwei Myers-Tackie, CNP

  • Gerontology Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1912617663

  Multi-Specialty

  Medicare reassignment NPD
• Muhammad Ali Siddiqui, M.D.

  • Family Medicine Physician
  • Plano, TX
  • NPI 1437125481
  Medicare reassignment NPD
• Hazel Togonon Violan, NP

  • Gerontology Nurse Practitioner
  • Amarillo, TX
  • NPI 1184355034
  Medicare reassignment NPD
• Bilal Mustafa, MD

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1356661185

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1225650468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY STE 295C",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934408",
            "telephone_number": "972-666-0786",
            "fax_number": "972-666-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 W PLANO PKWY STE 295C",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934408",
            "telephone_number": "972-666-0786",
            "fax_number": "972-666-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL PHYSICIAN HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "KAZI",
        "authorized_official_first_name": "MANSOOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-900-0207",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Ophthalmology Associates, PA
• Vista Pem Providers, LLC
• Vista Pem Providers, LLC
• Gita Viswam, M.D.
• Vita Nova Chiropractic LLC
• Vitalbridge Medical Supply LLC
• Vitalcare Medical Supplies LLC
• Vitality Dental, PLLC
• Vitality Genomics Inc
• Vitality Sports Medicine, Inc.

• Family Medicine Physician in Plano, TX
• Providers in Plano, 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 Oct 24, 2025; 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.