Organization Active NPI

Vytal Health Solutions LLC

  • Internal Medicine Physician
  • Brewster, MA
National Provider Identifier
1487420444
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VYTAL HEALTH SOLUTIONS LLC
Practice address
383 S Orleans Rd
Brewster, MA 02631-2879
Phone
(508) 240-3500
Fax
(508) 888-9100
NPI assigned
Nov 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Michael Hitsman, DONPI 1306387907
Title
Sole Owner
Phone
(918) 671-1908

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

383 S Orleans Rd
Brewster, MA 02631-2879

Mailing address

90 Oakmont Rd
Yarmouth Port, MA 02675-1666
Phone (918) 671-1908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240103004381 MA Part B Supplier - Clinic/Group Practice 8729439740 Receives reassigned benefits from 2 practitioners
Practice locations: Brewster, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1487420444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 OAKMONT RD",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751666",
            "telephone_number": "918-671-1908",
            "fax_number": "508-888-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 S ORLEANS RD",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026312879",
            "telephone_number": "508-240-3500",
            "fax_number": "508-888-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYTAL HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "HITSMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "918-671-1908",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.