Carlos James Vital, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

M2177 Issued in TX

Practice address

1213 Hermann Dr Ste 550
Houston, TX 77004-7089

Phone

(137) 820-6380

Fax

(713) 820-6377

NPI assigned

Sep 19, 2005

Last updated

May 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Louisiana State University School of Medicine in New Orleans, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vital Allergy and Asthma Center

  dba Vital Allergy & Asthma Center

  • Allergy Physician
  • Houston, TX
  • NPI 1275778300
  Medicare reassignment NPD Authorized official
• Allergy Clinic LLP

  • Allergy Physician
  • Pasadena, TX
  • NPI 1295813301
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1871588541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047089",
            "telephone_number": "713-820-6380",
            "fax_number": "713-820-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047089",
            "telephone_number": "137-820-6380",
            "fax_number": "713-820-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11920 Astoria Blvd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770896155",
            "country_code": "US",
            "telephone_number": "713-538-1240",
            "fax_number": "713-538-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITAL",
        "first_name": "CARLOS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "M2177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Nourishment
• Vital Podiatry PLLC
• Vital Scan, LLC
• Vital Star Pharmacy Inc
• Vital Transitions Home Care, LLC
• Domanique Vital, LMSW
• Karla Nadine Vital, MD
• Kourtney Sonjae Vital, LMSW
• Mark C. Vital, MD
• Tamisha E Vital

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.