RIVERSIDE FAMILY HEALTH
NPI 1477568186
Family Medicine in Merritt Island, FL
About Riverside Family Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE FAMILY HEALTH (NPI 1477568186), doing business as Riverside Family Health Pl, is a healthcare organization registered as a family medicine in Merritt Island, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Kimberly Naoumoff, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Riverside Family Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Riverside Family Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Merritt Island, FL 32953
Merritt Island, FL 32953
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 10D0991348
Riverside Family Health, Pl · Merritt Island, FLFrequently 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 Riverside Family Health's NPI number?
The NPI number for Riverside Family Health is 1477568186. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Riverside Family Health Pl. The provider is also known as Riverside Family Health, Pl. The provider was formerly known as Stephane Naoumoff MD.
Where is Riverside Family Health located?
Riverside Family Health is located at 1395 N Courtenay Pkwy Ste 100, Merritt Island, FL 32953. The listed phone number is (321) 453-5252.
What is Riverside Family Health's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Riverside Family Health enrolled in Medicare?
Yes. Riverside Family Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Riverside Family Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Riverside Family Health, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Riverside Family Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0991348) is associated with this NPI, valid through September 17, 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 Riverside Family Health was last updated on October 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.
# Riverside Family Health · NPI 1477568186
Family Medicine organization in Merritt Island, Florida. Organization record, active in the CMS NPPES registry since July 30, 2006.
## Identity
- **NPI:** 1477568186 (Entity type: Organization)
- **Enumerated:** July 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** RIVERSIDE FAMILY HEALTH PL (Doing Business As); STEPHANE NAOUMOFF MD (Former Legal Business Name); RIVERSIDE FAMILY HEALTH, PL (Other Name)
- **Organization subpart:** No
- **Authorized official:** Kimberly Naoumoff, PRACTICE MANAGER
## Practice location
- **Address:** 1395 N COURTENAY PKWY STE 100, Merritt Island, FL 32953-4474
- **Phone:** (321) 453-5252 · **Fax:** (321) 453-5152
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2026
- **Other identifiers:** Medicaid 113538600 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477568186) · Data from the CMS NPPES public registry.