VIVANT HEALTH, PLLC
NPI 1942987474
Clinic/Center - Primary Care in Boca Raton, FL

Active since June 27, 2023
660 GLADES RD STE 140, BOCA RATON, FL 33431(561) 800-4570(561) 800-4580 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Vivant Health, Pllc NPPES

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

VIVANT HEALTH, PLLC (NPI 1942987474) is a healthcare organization registered as a primary care in Boca Raton, Florida and active in the NPI registry since June 2023. The organization lists Prasanth Gogineni, President, as its authorized official.

NPPES Registry Identity

NPI1942987474
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVIVANT HEALTH, PLLC
Location Address660 GLADES RD STE 140Boca Raton, FL 33431-6466
Mailing Address10425 S Lago Vista CirParkland, FL 33076-2970 · (561) 800-2601
Fax(561) 800-4580
Organization SubpartNo
Authorized OfficialPrasanth GogineniPresident · (561) 800-2601
Enumeration DateJune 27, 2023
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1942987474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
660 GLADES RD STE 140, Boca Raton, FL 33431

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivant Health, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vivant Health, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1376641902
660 GLADES RD STE 140
Boca Raton, FL 33431
(561) 800-4570
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vivant Health, PLLC's NPI number?

The NPI number for Vivant Health, PLLC is 1942987474. It was assigned to this organization in the NPPES registry on June 27, 2023.

Where is Vivant Health, PLLC located?

Vivant Health, PLLC is located at 660 Glades Rd Ste 140, Boca Raton, FL 33431. The listed phone number is (561) 800-4570.

What is Vivant Health, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Vivant Health, PLLC enrolled in Medicare?

Yes. Vivant Health, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vivant Health, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Vivant Health, PLLC. 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.

When was this NPI record last updated?

The NPPES record for Vivant Health, PLLC was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.