OrganizationActive
Vitality Health Group
NPI 1154550143 · Cardiovascular Disease Physician · Indianapolis, IN
Provider details
- NPI number
- 1154550143
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ray Henderson, Ceo(317) 652-2147
- License
- 01029301A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1702 W Michigan St
Indianapolis, IN 46222-3983
Phone: (317) 652-2147
Street-level locationGet directions
Mailing address
1702 W Michigan St
Indianapolis, IN 46222-3983
Registry dates
- Enumerated
- 2009-07-10
- Last updated
- 2009-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.