Active NPI
Vital Health Medical Care, PLLC
- Obesity Medicine (Internal Medicine) Physician
- Pittsford, NY
National Provider Identifier
1568087138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- Legal business name
- VITAL HEALTH MEDICAL CARE, PLLC
- Practice address
- 23 Hadley CT
Pittsford, NY 14534-2838 - Phone
- (917) 365-5214
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Akm Ashfaqur Rahman, MD, DO
- Title
- Manager
- Phone
- (917) 365-5214
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuroradiology Physician
- Pittsford, NY
- NPI 1568727121
Multi-Specialty, NY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200708001593 | NY | Part B Supplier - Clinic/Group Practice | 9638592736 |
Receives reassigned benefits from 2 practitioners Practice locations: Pittsford, NY |
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
NPPES NPI RegistryPrimary practice location
23 Hadley CT
Pittsford, NY 14534-2838
Mailing address
23 Hadley CT
Pittsford, NY 14534-2838
Phone (917) 365-5214
Other names 1
NPPES NPI Registry- Vital Health Medical Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2023.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1568087138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HADLEY CT",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145342838",
"telephone_number": "917-365-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 HADLEY CT",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145342838",
"telephone_number": "917-365-5214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL HEALTH MEDICAL CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2023-09-06",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "RAHMAN",
"authorized_official_first_name": "AKM",
"authorized_official_middle_name": "ASHFAQUR",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-365-5214",
"authorized_official_credential": "MD, DO"
},
"taxonomies": [
{
"code": "207RB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Health Medical Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.