Vine Family Medicine PLLC
NPI 1407427420 · Family Medicine Physician · Keller, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vine Family Medicine PLLC is a Family Medicine Physician organization in Keller, TX (NPI 1407427420).
Provider details
- NPI number
- 1407427420
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ochuele Odumosu, Medical Director(817) 710-3040
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-12
- Certified
- 2021-07-12
Frequently asked questions
- What is Vine Family Medicine PLLC's NPI number?
- Vine Family Medicine PLLC's National Provider Identifier (NPI) is 1407427420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vine Family Medicine PLLC?
- Vine Family Medicine PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vine Family Medicine PLLC located?
- Vine Family Medicine PLLC's practice location on file with NPPES is 420 Johnson Rd Ste 304, Keller, TX 76248-3463.
- What is Vine Family Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vine Family Medicine PLLC is (817) 710-3040.
- Does Vine Family Medicine PLLC accept Medicare?
- Vine Family Medicine PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vine Family Medicine PLLC?
- The authorized official listed on Vine Family Medicine PLLC's NPPES record is Ochuele Odumosu, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vine Family Medicine PLLC's NPI active?
- Yes — Vine Family Medicine PLLC's NPI (1407427420) is active in the NPPES registry as of the last update on 2021-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.