OLIVERA HEALTH GROUP IA LLC
NPI 1255192423
Clinic/Center - Multi-Specialty in Cedar Rapids, IA

Active since January 16, 2024
6420 COUNCIL ST NE, CEDAR RAPIDS, IA 52402(212) 734-6621 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Olivera Health Group Ia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVERA HEALTH GROUP IA LLC (NPI 1255192423) is a healthcare organization registered as a multi-specialty in Cedar Rapids, Iowa and active in the NPI registry since January 2024. The organization lists Menachem Hoffman, Owner, as its authorized official.

NPPES Registry Identity

NPI1255192423
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameOLIVERA HEALTH GROUP IA LLC
Location Address6420 COUNCIL ST NECedar Rapids, IA 52402-1129
Mailing Address199 Lee AveBrooklyn, NY 11211-8919
Organization SubpartNo
Authorized OfficialMenachem HoffmanOwner · (917) 345-9464
Enumeration DateJanuary 16, 2024
Last NPPES UpdateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1255192423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
6420 COUNCIL ST NE, Cedar Rapids, IA 52402

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivera Health Group Ia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Olivera Health Group Ia LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1205336385
802 KENYON RD STE Q
Fort Dodge, IA 50501
(515) 574-8519
✔ PECOS134 mi
Nurse Practitioner
NPI 1841999562
2857 TOBACCO RD STE 4
Hephzibah, GA 30815
(706) 993-7570
✔ PECOS792 mi
Nurse Practitioner
NPI 1184443087
260 GREGORY AVE APT B10
Passaic, NJ 07055
(201) 777-0518
✔ PECOS✔ Accepts Medicare912 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivera Health Group Ia LLC's NPI number?

The NPI number for Olivera Health Group Ia LLC is 1255192423. It was assigned to this organization in the NPPES registry on January 16, 2024.

Where is Olivera Health Group Ia LLC located?

Olivera Health Group Ia LLC is located at 6420 Council St NE, Cedar Rapids, IA 52402. The listed phone number is (212) 734-6621.

What is Olivera Health Group Ia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Olivera Health Group Ia LLC enrolled in Medicare?

Yes. Olivera Health Group Ia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olivera Health Group Ia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Olivera Health Group Ia LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Olivera Health Group Ia LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.