NPIMap

Organization Active NPI

Vital Allergy and Asthma Center

Doing business as Vital Allergy & Asthma Center

  • Allergy Physician
  • Houston, TX
National Provider Identifier
1275778300
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
M2177 Issued in TX
Legal business name
VITAL ALLERGY AND ASTHMA CENTER
Doing business as
Vital Allergy & Asthma Center
Practice address
1213 Hermann Dr Ste 550
Houston, TX 77004-7089
Phone
(713) 820-6380
Fax
(713) 538-1244
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Dr. Carlos James Vital, MDNPI 1871588541
Title
Physician/ Owner
Phone
(713) 538-1240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X M2177 TX Primary

Addresses

Primary practice location

1213 Hermann Dr Ste 550
Houston, TX 77004-7089

Mailing address

1213 Hermann Dr Ste 550
Houston, TX 77004-7089
Phone (713) 820-6380

Other practice location 1

11920 Astoria Blvd Ste 370
Houston, TX 77089-6155
Phone (713) 538-1240

Other names 2

  • Vital Allergy & Asthma Center Doing business as
  • Carlos J Vital MDPA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000783 TX Part B Supplier - Clinic/Group Practice 6709949274 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1213 Hermann Dr
Ste 550
Houston, TX 77004
Phone (713) 522-1221

Practitioners & affiliated clinicians

Practitioners 6

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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1275778300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047089",
            "telephone_number": "713-820-6380",
            "fax_number": "713-538-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047089",
            "telephone_number": "713-820-6380",
            "fax_number": "713-538-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11920 Astoria Blvd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770896155",
            "country_code": "US",
            "telephone_number": "713-538-1240",
            "fax_number": "713-538-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAL ALLERGY AND ASTHMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "VITAL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN/   OWNER",
        "authorized_official_telephone_number": "713-538-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "M2177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Allergy & Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carlos J Vital MDPA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.