Vitality Wellness and Medspa PLLC
NPI 1558959247 · Internal Medicine Physician · Novi, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vitality Wellness and Medspa PLLC is a Internal Medicine Physician organization in Novi, MI (NPI 1558959247).
Provider details
- NPI number
- 1558959247
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Komal Trivedi, Owner(617) 549-0252
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 45380 W 10 Mile RdNovi, MI 48375-3000Phone: (617) 549-0252
Registry dates
- Enumerated
- 2021-01-07
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Frequently asked questions
- What is Vitality Wellness and Medspa PLLC's NPI number?
- Vitality Wellness and Medspa PLLC's National Provider Identifier (NPI) is 1558959247, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitality Wellness and Medspa PLLC?
- Vitality Wellness and Medspa PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vitality Wellness and Medspa PLLC located?
- Vitality Wellness and Medspa PLLC's practice location on file with NPPES is 24464 Thatcher Dr, Novi, MI 48375-2365.
- What is Vitality Wellness and Medspa PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vitality Wellness and Medspa PLLC is (617) 549-0252.
- Does Vitality Wellness and Medspa PLLC accept Medicare?
- Vitality Wellness and Medspa 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 Vitality Wellness and Medspa PLLC?
- The authorized official listed on Vitality Wellness and Medspa PLLC's NPPES record is Komal Trivedi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitality Wellness and Medspa PLLC's NPI active?
- Yes — Vitality Wellness and Medspa PLLC's NPI (1558959247) is active in the NPPES registry as of the last update on 2024-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.