NICOLOFF HOLISTIC FAMILY MEDICINE
NPI 1871890251
Clinic/Center - Primary Care in Livonia, MI
About Nicoloff Holistic Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLOFF HOLISTIC FAMILY MEDICINE (NPI 1871890251) is a healthcare organization registered as a primary care in Livonia, Michigan and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists George Michael Nicoloff, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Nicoloff Holistic Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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 Nicoloff Holistic Family Medicine, 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 23D2019642
Nicoloff Holistic Family Medicine George M Nicoloff MD PC · Livonia, MIFrequently 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 George M Nicoloff MD PC's NPI number?
The NPI number for George M Nicoloff MD PC is 1871890251. It was assigned to this organization in the NPPES registry on February 20, 2011. The provider is doing business as Nicoloff Holistic Family Medicine.
Where is George M Nicoloff MD PC located?
George M Nicoloff MD PC is located at 15510 Farmington Rd, Livonia, MI 48154. The listed phone number is (248) 344-7400.
What is George M Nicoloff MD PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is George M Nicoloff MD PC enrolled in Medicare?
Yes. George M Nicoloff MD PC is registered in the Medicare PECOS enrollment system.
When is George M Nicoloff MD PC'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 (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 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 George M Nicoloff MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to George M Nicoloff MD PC. 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 George M Nicoloff MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2019642) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does George M Nicoloff MD PC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list George M Nicoloff MD PC 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 George M Nicoloff MD PC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Nicoloff Holistic Family Medicine · NPI 1871890251
Primary Care organization in Livonia, Michigan. Organization record, active in the CMS NPPES registry since February 20, 2011.
## Identity
- **NPI:** 1871890251 (Entity type: Organization)
- **Enumerated:** February 20, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** George M Nicoloff Md Pc
- **Organization subpart:** No
- **Authorized official:** George Nicoloff, PRESIDENT
## Practice location
- **Address:** 15510 FARMINGTON RD, Livonia, MI 48154-2852
- **Phone:** (248) 344-7400 · **Fax:** (248) 344-7401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, 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:** November 25, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871890251) · Data from the CMS NPPES public registry.