Vitalcare Primary Care PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VITALCARE PRIMARY CARE PLC

Practice address

8835 Michigan Ave Ste 100
Detroit, MI 48210-0708

Phone

(313) 407-7736

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Jaber Abdo, DONPI 1528416211

Title

President

Phone

(313) 407-7736

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaber Ali Abdo, D.O.

  • General Practice Physician
  • Detroit, MI
  • NPI 1528416211

  Single Specialty

  Medicare reassignment NPD Authorized official
• Bilal Alawy, D.O.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1184004541
  Medicare reassignment NPD

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1942035399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 MICHIGAN AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482100708",
            "telephone_number": "313-407-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 MICHIGAN AVE STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482100708",
            "telephone_number": "313-407-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALCARE PRIMARY CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "JABER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-407-7736",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane A Vista-Deck, MD
• Vital Health Management
• Vital Health Pharmacy LLC
• Vital Source Home Care Providers LLC
• Vital Source Ministry Enterprise (Vital Source Providers)
• Vitalcare Urgent Care PLC
• Angela Vitale
• Vitality Adult Foster Care Home Co (Vitality AFC Home)
• Vitalizing Care Consultants LLC (VCC Care Services)
• Vitalworks Staffing Agency LLC

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.