CONVIVA NORTH MIAMI BEACH
NPI 1528633757
Internal Medicine in North Miami Beach, FL

Active since May 20, 2021CLIA 10D0934844 · Waiver
1648 NE 163RD ST, NORTH MIAMI BEACH, FL 33162(305) 949-2000(305) 957-1166 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

  • Organization
  • Internal Medicine
  • CLIA Number: 10D0934844
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-15-2027

About CONVIVA NORTH MIAMI BEACH

This page provides the complete NPI Profile along with additional information for Conviva North Miami Beach, an internist established in North Miami Beach, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1528633757 assigned on May 2021. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Conviva North Miami Beach operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Conviva North Miami Beach. The authorized official of this NPI record is Kevin Meriwether (President)

NPI
1528633757 Verify this NPI
Provider Legal Name
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Other Organization Name
CONVIVA NORTH MIAMI BEACH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1648 NE 163RD ST NORTH MIAMI BEACH, FL 33162
Location Phone
(305) 949-2000
Location Fax
(305) 957-1166
Mailing Address
6101 BLUE LAGOON DR STE 200 MIAMI, FL 33126
Mailing Phone
(305) 500-2000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-20-2021
Last Update Date
05-20-2024
Code Navigator

An internist like Conviva North Miami Beach is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEVIN MERIWETHER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(305) 500-2000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0934844
Facility Type
Physician Office
Certificate Effective Date
October 16, 2025
Certificate Expiration Date
October 15, 2027
Laboratory Director
SENDY JEAN-LOUIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Conviva North Miami Beach to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Registered Nurse (Diabetes Educator)
1648 NE 163RD ST
NORTH MIAMI BEACH, FL 33162
Internal Medicine
1648 NE 163RD ST
NORTH MIAMI BEACH, FL 33162
Pharmacy (Community/Retail Pharmacy)
1648 NE 163RD ST
NORTH MIAMI BEACH, FL 33162
Nurse Practitioner (Family)
1648 NE 163RD ST
NORTH MIAMI BEACH, FL 33162
Family Medicine
1648 NE 163RD ST
NORTH MIAMI BEACH, FL 33162
Nurse Practitioner (Family)
1648 NE 163RD ST
NORTH MIAMI BEACH, FL 33162
Family Medicine
1648 NE 163RD ST
NORTH MIAMI BEACH, FL 33162
General Practice
1648 NE 163RD ST
NORTH MIAMI BEACH, FL 33162
Nurse Practitioner (Family)
1648 NE 163RD ST
NORTH MIAMI BEACH, FL 33162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528633757, enumerated as an "organization" on May 20, 2021.

The provider is located at 1648 NE 163RD ST NORTH MIAMI BEACH, FL 33162 and the phone number is (305) 949-2000.

Internal Medicine with taxonomy code 207R00000X.