NINVA MEDICAL GROUP LLC
NPI 1841963881
Family Medicine in Niles, IL
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ninva Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ninva Medical Group LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 14D2236532
Ninva Medical Group · Niles, ILFrequently 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.
Is Ninva Medical Group LLC enrolled in Medicare?
Yes. Ninva Medical Group LLC is registered in the Medicare PECOS enrollment system.
When is Ninva Medical Group LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ninva Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ninva Medical Group 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 and Ambetter Health of Delaware 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.
# Ninva Medical Group Llc · NPI 1841963881
Family Medicine organization in Niles, Illinois. Organization record, active in the CMS NPPES registry since July 27, 2021.
## Identity
- **NPI:** 1841963881 (Entity type: Organization)
- **Enumerated:** July 27, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Dany Mamou, OWNER
## Practice location
- **Address:** 8780 W GOLF RD STE 303, Niles, IL 60714-5611
- **Phone:** (847) 813-6579
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1841963881) · Data from the CMS NPPES public registry.