Organization Active NPI

Vital Health Medical Care, PLLC

  • Obesity Medicine (Internal Medicine) Physician
  • Pittsford, NY
National Provider Identifier
1568087138
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
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, DONPI 1568727121
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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200708001593 NY Part B Supplier - Clinic/Group Practice 9638592736 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsford, NY

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X

Addresses

NPPES NPI Registry

Primary 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 Other name

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.

Verify at the official NPI Registry.