VPS of Mi PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

VPS OF MI PLLC

Practice address

25880 Outer Dr Ste 1
Lincoln Park, MI 48146-1553

Phone

(248) 509-4070

Fax

(248) 509-4080

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

VPS OF MI PLLCAs reported in NPPES

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

Authorized official

Name

Payal Jinit Shah, NP-CNPI 1063879369

Title

Owner

Phone

(248) 509-4070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• VPS of Mi PLLC

  dba Visiting Physician Services

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1164873691

  O20160708001747

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

VPS of Mi PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• VPS of Mi PLLC

  dba Visiting Physician Services

  • Family Medicine Physician
  • Farmington Hills, MI
  • NPI 1164873691
  NPPES parent name

Practitioners 1

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.

• Payal Shah, NP

  • Family Nurse Practitioner
  • Farmington Hills, MI
  • NPI 1063879369
  Authorized official Same address or phone

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1508417197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25880 OUTER DR STE 1",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461553",
            "telephone_number": "248-509-4070",
            "fax_number": "248-509-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25880 OUTER DR STE 1",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461553",
            "telephone_number": "248-509-4070",
            "fax_number": "248-509-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VPS OF MI PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VPS OF MI PLLC",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PAYAL",
        "authorized_official_middle_name": "JINIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-509-4070",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164873691",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tammy Chloe Waddell, D.D.S.
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• Walgreen Co (Walgreens #04749)
• William P Walsh, LMSW

• Urgent Care Clinic/Center in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.