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Organization Active NPI

Vitae Health Medical Iowa PLLC

  • Internal Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1811603012
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VITAE HEALTH MEDICAL IOWA PLLC
Practice address
5010 Grand Ridge Dr
West Des Moines, IA 50265-5754
Phone
(515) 222-5991
NPI assigned
Jan 31, 2023
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Mr. Yitzchak Freund
Title
Chief Operating Officer
Phone
(224) 777-8045

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Clinical Social Worker 1041C0700X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

5010 Grand Ridge Dr
West Des Moines, IA 50265-5754

Mailing address

350 S Northwest Hwy Ste 302
Park Ridge, IL 60068-4262
Phone (224) 777-8045

Other practice location 1

3800 Commerce Blvd
Davenport, IA 52807-3495
Phone (563) 344-2000

Other practice location 2

815 E Locust St
Davenport, IA 52803-4345
Phone (563) 324-3276

Other practice location 3

1940 1st Ave NE
Cedar Rapids, IA 52402-5321
Phone (319) 364-5151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519002267 IA Part B Supplier - Clinic/Group Practice 7719343565 Receives reassigned benefits from 17 practitioners
Practice locations: Davenport, IA; West Des Moines, IA; Waterloo, IA; Oelwein, IA; Maquoketa, IA; Guttenberg, IA; Dubuque, IA; Cedar Rapids, IA…

National Provider Directory

National Provider Directory

Locations

3800 Commerce Blvd
Davenport, IA 52807
Phone (563) 332-7463

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1811603012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 302",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "224-777-8045",
            "fax_number": "312-312-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 GRAND RIDGE DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655754",
            "telephone_number": "515-222-5991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528073495",
            "country_code": "US",
            "telephone_number": "563-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 E Locust St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528034345",
            "country_code": "US",
            "telephone_number": "563-324-3276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 1st Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524025321",
            "country_code": "US",
            "telephone_number": "319-364-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITAE HEALTH MEDICAL IOWA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "YITZCHAK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "224-777-8045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.