LIVINGWELL CLINIC PLLC
NPI 1861281925
Internal Medicine in Bloomingdale, IL
About Livingwell Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVINGWELL CLINIC PLLC (NPI 1861281925), doing business as Livingwell Clinic, is a healthcare organization registered as an internal medicine in Bloomingdale, Illinois and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Manali Patel, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 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)
Livingwell Clinic Pllc 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 Livingwell Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 14D2326744
Livingwell Clinic PLLC · Bloomingdale, 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 Livingwell Clinic PLLC's NPI number?
The NPI number for Livingwell Clinic PLLC is 1861281925. It was assigned to this organization in the NPPES registry on May 5, 2025. The provider is doing business as LivingWell Clinic.
Where is Livingwell Clinic PLLC located?
Livingwell Clinic PLLC is located at 473 W Army Trail Rd Ste 105, Bloomingdale, IL 60108. The listed phone number is (630) 242-2455.
What is Livingwell Clinic PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Livingwell Clinic PLLC enrolled in Medicare?
Yes. Livingwell Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Livingwell Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Livingwell Clinic PLLC, in Hospitalist and Optometry. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Livingwell Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2326744) is associated with this NPI, valid through July 8, 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 Livingwell Clinic PLLC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Livingwell Clinic Pllc · NPI 1861281925
Internal Medicine organization in Bloomingdale, Illinois. Organization record, active in the CMS NPPES registry since May 5, 2025.
## Identity
- **NPI:** 1861281925 (Entity type: Organization)
- **Enumerated:** May 5, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** LivingWell Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Manali Patel, MD/OWNER
## Practice location
- **Address:** 473 W ARMY TRAIL RD STE 105, Bloomingdale, IL 60108-2674
- **Phone:** (630) 242-2455
## 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: Hospitalist (1), Optometry (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861281925) · Data from the CMS NPPES public registry.