Vipcare Texas LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIPCARE TEXAS LLC

Practice address

3602 Matlock Rd Ste 206
Arlington, TX 76015-3600

Phone

(682) 282-4460

Fax

(682) 282-4462

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Sriram Sundaramoorthy

Title

Chief Compliance Officer

Phone

(352) 622-7000

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Joel Vernon Kay, NP

  • Nurse Practitioner
  • Refugio, TX
  • NPI 1801109681
  NPD (past)
• Bernadette Kucinski, NP

  • Primary Care Nurse Practitioner
  • San Antonio, TX
  • NPI 1275063331
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1356069777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "813-444-5838",
            "fax_number": "833-495-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 206",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "682-282-4460",
            "fax_number": "682-282-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIPCARE TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "SUNDARAMOORTHY",
        "authorized_official_first_name": "SRIRAM",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "352-622-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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": []
}

• William Andrew Vincent
• Mariana Vincenti
• Thao T Vining, NP
• Clark Vinson, LCSW
• Violet Psychiatry
• Afshin Virani, NP
• Nadia Virani, OD
• Virginia Principle Care PLLC
• Vision Correction Center, P.a.
• Vision Expo Group PLLC

• Family Medicine Physician in Arlington, TX
• Providers in Arlington, 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 Feb 6, 2023; 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.