Organization Active NPI

Vitology Health Clinic, PLLC

  • Family Medicine Physician
  • Colleyville, TX
National Provider Identifier
1700754710
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VITOLOGY HEALTH CLINIC, PLLC
Practice address
3855 Glade Rd Ste 140
Colleyville, TX 76034-4814
Phone
(817) 704-1566
Fax
(817) 719-9025
NPI assigned
Oct 29, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Yaman Subei
Title
Ceo
Phone
(248) 722-2377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3855 Glade Rd Ste 140
Colleyville, TX 76034-4814

Mailing address

3855 Glade Rd Ste 140
Colleyville, TX 76034-4814
Phone (817) 704-1566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260216003020 TX Part B Supplier - Clinic/Group Practice 6507346871 Receives reassigned benefits from 2 practitioners
Practice locations: Colleyville, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2340529Vitology Health3855 W Glade Rd Unit 140B, Colleyville, TX 76034Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

Locations

3855 Glade Rd
Ste 140
Colleyville, TX 76034
Phone (817) 704-1566

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1700754710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 GLADE RD STE 140",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344814",
            "telephone_number": "817-704-1566",
            "fax_number": "817-719-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 GLADE RD STE 140",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344814",
            "telephone_number": "817-704-1566",
            "fax_number": "817-719-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITOLOGY HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "SUBEI",
        "authorized_official_first_name": "YAMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-722-2377"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.