Vitality Urology Institute

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

VITALITY UROLOGY INSTITUTE

Practice address

12727 Kimberley LN Ste 303
Houston, TX 77024-4047

Phone

(713) 424-4030

NPI assigned

Apr 30, 2024

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Clavell

Title

Owner/Physician

Phone

(713) 424-4030

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Jonathan Clavell Hernandez, MD

  • Urology Physician
  • Houston, TX
  • NPI 1619230869
  Medicare reassignment NPD

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1811743719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN STE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 KIMBERLEY LN STE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244047",
            "telephone_number": "713-424-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY UROLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "CLAVELL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "713-424-4030"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitality Clinic LLC
• Vitality Counseling and Wellness, LLC
• Vitality Health Services, Inc
• Vitality Medical Center of Houston
• Vitality Resources, Inc. (Home Vitality Care)
• Vitalnerve, PLLC
• Vitalpath Medical
• Vitalpath Medical LLC
• Vitaltrust Healthcare Inc
• Vitalus Airway 562, LLC

• Urology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.