CONVIVA SPECIALTY, LLC
NPI 1326498676
Internal Medicine - Cardiovascular Disease in Miami, FL

Active since June 17, 2016
12905 SW 42ND ST STE 103, MIAMI, FL 33175(786) 801-5620 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2024, Oct 1, 2020, Feb 25, 2020 and 3 more (6 updates tracked since 2016).

About Conviva Specialty, Llc NPPES

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

CONVIVA SPECIALTY, LLC (NPI 1326498676) is a healthcare organization registered as a cardiovascular disease in Miami, Florida and active in the NPI registry since June 2016. The organization lists Jessica Bonetti, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1326498676
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCONVIVA SPECIALTY, LLC
Location Address12905 SW 42ND ST STE 103Miami, FL 33175-2910
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Organization SubpartNo
Authorized OfficialJessica BonettiAssociate Director · (305) 500-2000
Enumeration DateJune 17, 2016
Last NPPES UpdateOctober 29, 20256 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1326498676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME116882 (FL)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License ME129977 (FL)
12905 SW 42ND ST STE 103, Miami, FL 33175

Other Identifiers 1

Medicaid021709600FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conviva Specialty, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Conviva Specialty, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Cardiovascular Disease (Cardiology)24
Nurse Practitioner12
Podiatry4
Internal Medicine3
Nephrology3
Endocrinology1
Interventional Cardiology1

Nearest to this location (20)

See all 48
Nurse Practitioner
NPI 1295116341
10401 SW 40TH ST
Miami, FL 33165
(305) 222-2000
✔ PECOS✔ Accepts Medicare2.5 mi
Podiatry
NPI 1154306314
7500 SW 8TH ST
Miami, FL 33144
(305) 534-0076
✔ PECOS5.8 mi
Endocrinology
NPI 1548430515
3233 PALM AVE
Hialeah, FL 33012
(305) 826-0660
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1154759546
1200 SW 1ST ST
Miami, FL 33135
(305) 324-2000
✔ PECOS✔ Accepts Medicare12 mi
Cardiovascular Disease (Cardiology)
NPI 1225460009
209 NE 95TH ST STE 5
Miami Shores, FL 33138
(786) 206-8610
✔ PECOS✔ Accepts Medicare16 mi
Cardiovascular Disease (Cardiology)
NPI 1457518441
1733 N UNIVERSITY DR
Plantation, FL 33322
(954) 247-2168
✔ PECOS30 mi
Nephrology
NPI 1114030673
1733 N UNIVERSITY DR
Plantation, FL 33322
(954) 247-2168
✔ PECOS✔ Accepts Medicare30 mi
Podiatry
NPI 1083670947
1733 N UNIVERSITY DR
Plantation, FL 33322
(954) 247-2168
✔ PECOS✔ Accepts Medicare30 mi
Internal Medicine
NPI 1942562822
1733 N UNIVERSITY DR
Plantation, FL 33322
(954) 247-2168
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1255762183
1733 N UNIVERSITY DR
Plantation, FL 33322
(954) 247-2168
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1629437173
4828 COCONUT CREEK PARKWAY
Coconut Creek, FL 33063
(954) 247-2168
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1831695519
4828 COCONUT CREEK PARKWAY
Coconut Creek, FL 33063
(954) 247-2168
✔ PECOS✔ Accepts Medicare38 mi
Cardiovascular Disease (Cardiology)
NPI 1215179882
4828 COCONUT CREEK PARKWAY
Coconut Creek, FL 33063
(954) 247-2168
✔ PECOS✔ Accepts Medicare38 mi
Nephrology
NPI 1336186857
4828 COCONUT CREEK PKWY
Coconut Creek, FL 33063
(305) 500-2000
✔ PECOS38 mi
Nephrology
NPI 1295978914
4828 COCONUT CREEK PARKWAY
Coconut Creek, FL 33063
(954) 247-2168
✔ PECOS✔ Accepts Medicare38 mi
Podiatry
NPI 1609929017
3795 W BOYNTON BEACH BLVD STE A
Boynton Beach, FL 33436
(561) 738-7900
✔ PECOS✔ Accepts Medicare58 mi
Cardiovascular Disease (Cardiology)
NPI 1265824551
5849 OKEECHOBEE BLVD STE 301
West Palm Beach, FL 33417
(561) 683-4008
✔ PECOS✔ Accepts Medicare69 mi
Cardiovascular Disease (Cardiology)
NPI 1437294881
19284 LA SERENA DR
Estero, FL 33967
(239) 481-5494
✔ PECOS✔ Accepts Medicare101 mi
Podiatry
NPI 1811273600
538 SE PORT ST LUCIE BLVD
Port St Lucie, FL 34984
(772) 871-5900
✔ PECOS✔ Accepts Medicare106 mi
Nurse Practitioner
NPI 1467877209
3185 W VINE ST
Kissimmee, FL 34741
(407) 569-1260
✔ PECOS✔ Accepts Medicare188 mi
See all 48 clinicians

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 Conviva Specialty, LLC's NPI number?

The NPI number for Conviva Specialty, LLC is 1326498676. It was assigned to this organization in the NPPES registry on June 17, 2016.

Where is Conviva Specialty, LLC located?

Conviva Specialty, LLC is located at 12905 SW 42nd St Ste 103, Miami, FL 33175. The listed phone number is (786) 801-5620.

What is Conviva Specialty, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Conviva Specialty, LLC enrolled in Medicare?

Yes. Conviva Specialty, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conviva Specialty, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 7 Medicare specialties reassign their Medicare billing to Conviva Specialty, 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. The largest specialties are Cardiovascular Disease (Cardiology) (24), Nurse Practitioner (12) and Podiatry (4). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Conviva Specialty, LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.