Individual provider Active NPI

Christopher Vivas, M.D.

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1972850154
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME146272 Issued in FL
Practice address
3730 7TH Ter Ste 302
Vero Beach, FL 32960-7330
Phone
(727) 736-5317
NPI assigned
Aug 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2018039387 MO
Special Hospital 284300000X 29,093-R PR
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME146272 FL Primary

Addresses

Primary practice location

3730 7TH Ter Ste 302
Vero Beach, FL 32960-7330

Mailing address

3730 7TH Ter Ste 302
Vero Beach, FL 32960-7330
Phone (727) 736-5317

Other identifiers 1

IdentifierTypeStateIssuer
107520800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181108001853 MO Practitioner - Internal Medicine 2163776204 Reassigns benefits to 1 organization
I20200727001710 FL Practitioner - Internal Medicine 2163776204 Reassigns benefits to 2 organizations
Practice locations: Vero Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
National Medical University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivas-Pichardo GroupGroup PAC ID 0244741932, 2 clinicians

Practice addresses (Care Compare)

3730 7TH Ter
Suite 302
Vero Beach, FL 32960-7330
Phone (772) 268-4414

Hospital & facility affiliations

  • Health at Home Home health agency, Port Saint Lucie, FL, CCN 109028
  • Vero Beach Care Center Nursing home, Vero Beach, FL, CCN 105474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME146272FLMDInternal Medicine Physician
2018039387MOMDInternal Medicine Physician
29,093-RPRMDSpecial Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Southeast LLC Multi-Specialty CurrentSince May 5, 2025 Accepting new patients
Cole Physician Services LLC Multi-Specialty CurrentSince Oct 26, 2018 Accepting new patients
Vivas-Pichardo Group Multi-Specialty CurrentSince Apr 16, 2025 Accepting new patients
Stewart and Stewart a Medical Corporation Multi-Specialty Past Accepting new patients

Locations

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1500 SE Palm Beach Rd
Stuart, FL 34994
Phone (561) 745-3893

3663 15th Ave
Vero Beach, FL 32960
Phone (772) 567-2552

1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107

3730 7th Ter
Ste 302
Vero Beach, FL 32960
Phone (772) 268-4414

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1972850154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 7TH TER STE 302",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607330",
            "telephone_number": "727-736-5317",
            "fax_number": "772-539-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 7TH TER STE 302",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607330",
            "telephone_number": "727-736-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVAS",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-07",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018039387",
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "PR",
            "license": "29,093-R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME146272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107520800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.