VIVO INFUSION VIRGINIA LLC
NPI 1902652340
Clinic/Center - Infusion Therapy in Glen Allen, VA

Active since April 26, 2024CLIA Certified · 6 labs
5450 WYNDHAM FOREST DR STE 6-02, GLEN ALLEN, VA 23059(855) 478-1528 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Apr 26, 2024 (2 updates tracked since 2024).

About Vivo Infusion Virginia Llc NPPES

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

VIVO INFUSION VIRGINIA LLC (NPI 1902652340) is a healthcare organization registered as an infusion therapy in Glen Allen, Virginia and active in the NPI registry since April 2024. The organization holds 6 active CLIA laboratory certificates, maintains 7 additional practice locations, and lists Renee Worsham, Manager, Credentialing & Enrollment, as its authorized official.

NPPES Registry Identity

NPI1902652340
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameVIVO INFUSION VIRGINIA LLC
Location Address5450 WYNDHAM FOREST DR STE 6-02Glen Allen, VA 23059-5942
Mailing Address1726 Cole Blvd Ste 250Lakewood, CO 80401-3262 · (855) 478-1528
Organization SubpartYes
Authorized OfficialRenee WorshamManager, Credentialing & Enrollment · (303) 384-4064
Enumeration DateApril 26, 2024
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1902652340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedNurse PractitionerTaxonomy 363L00000X
5450 WYNDHAM FOREST DR STE 6-02, Glen Allen, VA 23059

Secondary Practice Locations 7

Location 113632 Hull Street RdMidlothian, VA 23112-2108 · Phone (855) 478-1528
Location 21503 Central Park BlvdFredericksburg, VA 22401 · Phone (855) 478-1528
Location 31430 Rolkin Ct Ste 101Charlottesville, VA 22911-3582 · Phone (855) 478-1528
Location 48004 Timberlake Rd Ste ALynchburg, VA 24502-2627 · Phone (855) 478-1528 · Fax (972) 598-0019
Location 511725 Route 29 Ste 13Fairfax, VA 22030-8800 · Phone (855) 478-1528
Location 6659 Potomac Station Dr NELeesburg, VA 20176-1818 · Phone (855) 478-1528
Location 72704 Richmond HwyAlexandria, VA 22301-1026 · Phone (855) 478-1528

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivo Infusion Virginia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Vivo Infusion Virginia LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1245030154
1200 EDWARDS FERRY RD NE
Leesburg, VA 20176
(866) 389-2727
✔ PECOS✔ Accepts Medicare99 mi
Vascular Surgery
NPI 1154447175
1900 MARKET ST SUITE 115
Philadelphia, PA 19103
(215) 988-0440
✔ PECOS✔ Accepts Medicare204 mi
Nurse Practitioner
NPI 1972953032
9000 N MAIN ST STE G-36
Englewood, OH 45415
(937) 293-1622
✔ PECOS✔ Accepts Medicare391 mi
Nurse Practitioner
NPI 1467950741
189 QUINCY ST
Brockton, MA 02302
(508) 588-6700
✔ PECOS464 mi
Nurse Practitioner
NPI 1285318782
500 W CUMMINGS PARK STE 2950
Woburn, MA 01801
(781) 376-6938
✔ PECOS✔ Accepts Medicare476 mi
Nurse Practitioner
NPI 1275924169
8144 WALNUT HILL LN STE 1350
Dallas, TX 75231
(972) 598-0000
✔ PECOS✔ Accepts Medicare1,131 mi

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 6

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 49D2312682

Vivo Infusion Virginia, LLC · Leesburg, VA
Active · expires Oct 15, 2028
CLIA Number49D2312682
Laboratory TypeInfusion Center
Certificate Effective DateOctober 16, 2026
Certificate Expiration DateOctober 15, 2028
Laboratory DirectorLeeann Dam
Laboratory Phone(571) 593-5904
Laboratory LocationVivo Infusion Virginia, LLC659 Potomac Station Dr NE, Leesburg, VA 20176
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2312688

Vivo Infusion Virginia, LLC · Alexandria, VA
Active · expires Oct 15, 2028
CLIA Number49D2312688
Laboratory TypeInfusion Center
Certificate Effective DateOctober 16, 2026
Certificate Expiration DateOctober 15, 2028
Laboratory DirectorLeeann Dam
Laboratory Phone(571) 652-2288
Laboratory LocationVivo Infusion Virginia, LLC2704 Richmond Hwy, Alexandria, VA 22301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2301757

Vivo Infusion Virginia, LLC Dba Vivo Infusion · Glen Allen, VA
Active · expires Mar 31, 2028
CLIA Number49D2301757
Laboratory TypeInfusion Center
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorLee Ann Dam
Laboratory Phone(720) 460-7200
Laboratory LocationVivo Infusion Virginia, LLC Dba Vivo Infusion5450 Wyndham Forest Dr, Glen Allen, VA 23059
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2301758

Vivo Infusion Virginia, LLC Dba Vivo Infusion · Midlothian, VA
Active · expires Mar 31, 2028
CLIA Number49D2301758
Laboratory TypeInfusion Center
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorLee Ann Dam
Laboratory Phone(720) 460-7200
Laboratory LocationVivo Infusion Virginia, LLC Dba Vivo Infusion13632 Hull Street Rd, Midlothian, VA 23112
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2328449

Vivo Infusion Virginia, LLC Dba Vivo Infusion · Lynchburg, VA
Active · expires Aug 10, 2027
CLIA Number49D2328449
Laboratory TypeInfusion Center
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorRobert Singh
Laboratory Phone(804) 653-5620
Laboratory LocationVivo Infusion Virginia, LLC Dba Vivo Infusion8004 Timberlake Rd, Suite A, Lynchburg, VA 24502
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2314312

Vivo Infusion Virginia, LLC · Fairfax, VA
Active · expires Nov 17, 2028
CLIA Number49D2314312
Laboratory TypeInfusion Center
Certificate Effective DateNovember 18, 2026
Certificate Expiration DateNovember 17, 2028
Laboratory DirectorLee Ann Dam
Laboratory Phone(571) 631-7376
Laboratory LocationVivo Infusion Virginia, LLC11725 Lee Highway, Suite 13, Fairfax, VA 22030
CLIA data matches this NPI record on: Name
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 Vivo Infusion Virginia LLC's NPI number?

The NPI number for Vivo Infusion Virginia LLC is 1902652340. It was assigned to this organization in the NPPES registry on April 26, 2024.

Where is Vivo Infusion Virginia LLC located?

Vivo Infusion Virginia LLC is located at 5450 Wyndham Forest Dr Ste 6-02, Glen Allen, VA 23059. The listed phone number is (855) 478-1528.

What is Vivo Infusion Virginia LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Is Vivo Infusion Virginia LLC enrolled in Medicare?

Yes. Vivo Infusion Virginia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vivo Infusion Virginia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Vivo Infusion Virginia 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. The largest specialties are Nurse Practitioner (5) and Vascular Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vivo Infusion Virginia LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Vivo Infusion Virginia LLC accept?

Health plans from UnitedHealthcare list Vivo Infusion Virginia 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 Vivo Infusion Virginia LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.