1. Home
  2. Directory
  3. Illinois
  4. Niles
  5. Family Medicine
  6. NPI Profile

NINVA MEDICAL GROUP LLC
NPI 1841963881
Family Medicine in Niles, IL

Active since July 27, 2021CLIA 14D2236532 · Waiver
8780 W GOLF RD STE 303, NILES, IL 60714(847) 813-6579 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ninva Medical Group Llc NPPES

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

NINVA MEDICAL GROUP LLC (NPI 1841963881) is a healthcare organization registered as a family medicine in Niles, Illinois and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Dany Mamou, Owner, as its authorized official.

NPPES Registry Identity

NPI1841963881
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNINVA MEDICAL GROUP LLC
Location Address8780 W GOLF RD STE 303Niles, IL 60714-5611
Mailing Address8780 W Golf Rd Ste 303Niles, IL 60714-5611
Phone(847) 813-6579
Organization SubpartNo
Authorized OfficialDany MamouOwner · (773) 412-1234
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1841963881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8780 W GOLF RD STE 303, Niles, IL 60714
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 14D2236532

Ninva Medical Group · Niles, IL
Active · expires Sep 16, 2027
CLIA Number14D2236532
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorDany Mamou
Laboratory Phone(847) 813-6579
Laboratory LocationNinva Medical Group8780 W Golf Rd - Ste 303, Niles, IL 60714
CLIA data matches this NPI record on: Address 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 Ninva Medical Group LLC's NPI number?

The NPI number for Ninva Medical Group LLC is 1841963881. It was assigned to this organization in the NPPES registry on July 27, 2021.

Where is Ninva Medical Group LLC located?

Ninva Medical Group LLC is located at 8780 W Golf Rd Ste 303, Niles, IL 60714. The listed phone number is (847) 813-6579.

What is Ninva Medical Group LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ninva Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2236532) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ninva Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ninva Medical Group LLC 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 Ninva Medical Group LLC was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.