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DR. EDILIA M VIVANCO M.D.
NPI 1477599561
Internal Medicine in Miami, FL

Active since June 20, 2006PECOS Enrolled
11701 MILLS DR, MIAMI, FL 33183(305) 270-2700(305) 644-3143 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Dec 5, 2021, Sep 24, 2020 (3 updates tracked since 2020).

About Dr. Edilia M Vivanco M.d. NPPES

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

DR. EDILIA M VIVANCO M.D. (NPI 1477599561) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME66826) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477599561
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDILIA M VIVANCOCredential: M.D.
Location Address11701 MILLS DRMiami, FL 33183-4824
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(305) 270-2700
Fax(305) 644-3143
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1477599561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME66826
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11701 MILLS DR, Miami, FL 33183
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Other Identifiers 1

Medicaid376367600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edilia M Vivanco M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edilia Vivanco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conviva Medical Center Management LLC
8.4 mi
Internal Medicine
6101 BLUE LAGOON DR STE 200
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 535 clinicians in this Medicare group
NPI 1649324278 (305) 500-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33183 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIVIANA RODRIGUEZ
Massage Therapist
11701 MILLS DR
MIAMI, FL 33183
Miami-Dade County (305) 270-2100
SIDNEY J STERN VISUAL HEALTH CENTERS PA
Optometrist
11701 MILLS DR
MIAMI, FL 33183
Miami-Dade County (305) 270-2755
CENTERWELL PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
11701 MILLS DR
MIAMI, FL 33183
Miami-Dade County (786) 843-4172
DR. KENNETH DAVID HERSHMAN M.D.
Internal Medicine
11701 MILLS DR
MIAMI, FL 33183
Miami-Dade County (305) 270-2700
YELITZA ANTONIETA MUNOZ LICENSED ACUPUNCTUR
Acupuncturist
11701 MILLS DR
MIAMI, FL 33183
Miami-Dade County (305) 270-2700
DR. JUNE DEFAS M.D.
Internal Medicine
11701 MILLS DR
MIAMI, FL 33183
Miami-Dade County (305) 270-2700
LILLIANA MOLINA
Nutritionist
11701 MILLS DR
MIAMI, FL 33183
Miami-Dade County (305) 270-2700
MARLIN YSABEL WEHBE FNP
Nurse Practitioner (Family)
11701 MILLS DR
MIAMI, FL 33183
Miami-Dade County (305) 270-2700

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 Edilia Vivanco's NPI number?

The NPI number for Edilia Vivanco is 1477599561. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Edilia Vivanco located?

Edilia Vivanco practices at 11701 Mills Dr, Miami, FL 33183. The listed phone number is (305) 270-2700.

What is Edilia Vivanco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edilia Vivanco enrolled in Medicare?

Yes. Edilia Vivanco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edilia Vivanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edilia Vivanco reassigns Medicare benefits to Conviva Medical Center Management LLC (Miami, FL). The 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 Edilia Vivanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edilia Vivanco accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Edilia Vivanco 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 Edilia Vivanco was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.