ALYVE MEDICAL PLLC FAMILY MEDICAL CLINIC
NPI 1295495208
Internal Medicine - Obesity Medicine in O Fallon, IL

Q: What is Alyve Medical PLLC Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Active since December 20, 2021CLIA 14D2250504 · Waiver

1480 N GREEN MOUNT RD STE 200, O FALLON, IL 62269(618) 622-3450(618) 622-3468 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2022, Dec 20, 2021 (2 updates tracked since 2021).

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About Alyve Medical Pllc Family Medical Clinic NPPES

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

ALYVE MEDICAL PLLC FAMILY MEDICAL CLINIC (NPI 1295495208) is a healthcare organization registered as an obesity medicine in O Fallon, Illinois and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Amardeep Shrestha, Manager, as its authorized official.

NPPES Registry Identity

NPI1295495208

Entity TypeOrganization

Primary Taxonomy207RB0002X

Legal Business NameALYVE MEDICAL PLLC FAMILY MEDICAL CLINIC

Location Address1480 N GREEN MOUNT RD STE 200O Fallon, IL 62269-3466

Mailing Address783 Allenbrook AveO Fallon, IL 62269-7455 · (217) 801-8156

Phone(618) 622-3450

Fax(618) 622-3468

Organization SubpartNo

Authorized OfficialAmardeep ShresthaManager · (217) 801-8156

Enumeration DateDecember 20, 2021

Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2022

✔ NPI 1295495208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RB0002X

Definition

An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Also ListedInternal MedicineTaxonomy 207R00000X

1480 N GREEN MOUNT RD STE 200, O Fallon, IL 62269

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D2250504

Alyve Medical PLLC · O Fallon, IL

Active · expires Jan 26, 2028

CLIA Number14D2250504

Laboratory TypePhysician Office

Certificate Effective DateJanuary 27, 2026

Certificate Expiration DateJanuary 26, 2028

Laboratory DirectorAmardeep Shrestha

Laboratory Phone(618) 622-3450

Laboratory LocationAlyve Medical PLLC1480 N Green Mount Rd #200, O Fallon, IL 62269

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Alyve Medical PLLC Family Medical Clinic's NPI number?

The NPI number for Alyve Medical PLLC Family Medical Clinic is 1295495208. It was assigned to this organization in the NPPES registry on December 20, 2021.

Where is Alyve Medical PLLC Family Medical Clinic located?

Alyve Medical PLLC Family Medical Clinic is located at 1480 N Green Mount Rd Ste 200, O Fallon, IL 62269. The listed phone number is (618) 622-3450.

What is Alyve Medical PLLC Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Does Alyve Medical PLLC Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2250504) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alyve Medical PLLC Family Medical Clinic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Alyve Medical PLLC Family Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alyve Medical PLLC Family Medical Clinic was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.