VIVACIOUS GROUP INC.
NPI 1275702888
Clinic/Center - Primary Care in Burr Ridge, IL
About Vivacious Group Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIVACIOUS GROUP INC. (NPI 1275702888) is a healthcare organization registered as a primary care in Burr Ridge, Illinois and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Anto Maliakkal, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vivacious Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vivacious Group Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D1107160
Vivacious Group Inc · Burr Ridge, ILFrequently 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 Vivacious Group Inc.'s NPI number?
The NPI number for Vivacious Group Inc. is 1275702888. It was assigned to this organization in the NPPES registry on February 27, 2008.
Where is Vivacious Group Inc. located?
Vivacious Group Inc. is located at 8s165 S Vine St, Burr Ridge, IL 60527. The listed phone number is (630) 835-7613.
What is Vivacious Group Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Vivacious Group Inc. enrolled in Medicare?
Yes. Vivacious Group Inc. is registered in the Medicare PECOS enrollment system.
When is Vivacious Group Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Vivacious Group Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Vivacious Group Inc.. 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.
Does Vivacious Group Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1107160) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vivacious Group Inc. was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Vivacious Group Inc. · NPI 1275702888
Primary Care organization in Burr Ridge, Illinois. Organization record, active in the CMS NPPES registry since February 27, 2008.
## Identity
- **NPI:** 1275702888 (Entity type: Organization)
- **Enumerated:** February 27, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Anto Maliakkal, PRESIDENT
## Practice location
- **Address:** 8S165 S VINE ST, Burr Ridge, IL 60527-5541
- **Phone:** (630) 835-7613
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275702888) · Data from the CMS NPPES public registry.