Vital Care Endocrinology, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

VITAL CARE ENDOCRINOLOGY, LLC

Practice address

1830 Town Center Dr Ste 306
Reston, VA 20190-3217

Phone

(571) 450-8300

Fax

(571) 450-8301

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Neeharika Repaka, MD

Title

Owner

Phone

(540) 889-0199

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22652/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1992312029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 306",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903217",
            "telephone_number": "571-450-8300",
            "fax_number": "571-450-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR STE 306",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903217",
            "telephone_number": "571-450-8300",
            "fax_number": "571-450-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "REPAKA",
        "authorized_official_first_name": "NEEHARIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-889-0199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Viva Velocity, LLC
• Kristi M Vivirito, PSYD
• Anna Vo, R.PH
• Samantha Vogel, M.A. CF-SLP

• Endocrinology, Diabetes & Metabolism Physician in Reston, VA
• Providers in Reston, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.