Organization Active NPI

Vivent Health Inc

  • Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1982654091
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VIVENT HEALTH INC
Practice address
1311 N 6TH St
Milwaukee, WI 53212-4006
Phone
(414) 223-6800
Fax
(414) 273-2357
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Mr. Joann Berk
Title
Sr. Director of Corporate Services
Phone
(414) 225-1568

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

1311 N 6TH St
Milwaukee, WI 53212-4006

Mailing address

PO Box 18412
Palatine, IL 60055-8412
Phone (866) 525-5484

Other practice location 1

104 E Highland Mall Blvd Ste 100
Austin, TX 78752-3776
Phone (512) 648-2273

Other practice location 2

2653 Locust St
Saint Louis, MO 63103-1411
Phone (855) 751-8879

Other practice location 3

600 Williamson St Ste H
Madison, WI 53703-4531
Phone (608) 785-9866

Other practice location 4

445 S Adams St
Green Bay, WI 54301-4107
Phone (920) 437-7400

Other practice location 5

5250 Leetsdale Dr Ste 300
Denver, CO 80246-1451
Phone (303) 393-8050

Other practice location 6

1212 57th St
Kenosha, WI 53140-4069
Phone (262) 657-6644

Other practice location 7

417 S Monroe Ave
Green Bay, WI 54301-4015
Phone (920) 437-7400

Other practice location 8

4309 E 50th Ter Ste 200
Kansas City, MO 64130-8500
Phone (816) 561-8784

Other identifiers 4

IdentifierTypeStateIssuer
38390700MedicaidWI
32895000MedicaidWI
42228200MedicaidWI
43089200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CO, MO, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040428001271 WI Part B Supplier - Clinic/Group Practice 1052308376 Receives reassigned benefits from 35 practitioners
1 other NPI on this enrollment
Practice locations: Superior, WI; Schofield, WI; Milwaukee, WI; Madison, WI; Kenosha, WI; Green Bay, WI; Eau Claire, WI; Beloit, WI…
O20170331001964 CO Part B Supplier - Clinic/Group Practice 1052308376 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Denver, CO
O20190201002124 MO Part B Supplier - Clinic/Group Practice 1052308376 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
Practice locations: Kansas City, MO; Saint Louis, MO
O20200501001356 TX Part B Supplier - Clinic/Group Practice 1052308376 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Austin, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

5250 Leetsdale Dr
Ste 210
Denver, CO 80246
Phone (303) 393-8050

5250 Leetsdale Dr
Ste 120
Denver, CO 80246

5250 Leetsdale Dr
Ste 300210
Denver, CO 80246

5250 Leetsdale Dr
Ste 300
Denver, CO 80246
Phone (303) 393-8050

4309 E 50th Ter
Kansas City, MO 64130
Phone (816) 561-8784

136 W Grand Ave
Ste 1
Beloit, WI 53511

455 S Adams St
Green Bay, WI 54301

417 S Monroe Ave
Green Bay, WI 54301
Phone (314) 437-6505

600 Williamson St
Madison, WI 53703
Phone (608) 238-9991

140 W Garfield Ave
Milwaukee, WI 53212
Phone (414) 264-3352

2439 N Holton St
Milwaukee, WI 53212
Phone (414) 223-6800

1311 N 6th St
Milwaukee, WI 53212
Phone (414) 223-6800

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1982654091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18412",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600558412",
            "telephone_number": "866-525-5484",
            "fax_number": "833-394-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N 6TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124006",
            "telephone_number": "414-223-6800",
            "fax_number": "414-273-2357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 E Highland Mall Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787523776",
            "country_code": "US",
            "telephone_number": "512-648-2273",
            "fax_number": "833-393-3915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2653 Locust St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631031411",
            "country_code": "US",
            "telephone_number": "855-751-8879",
            "fax_number": "833-529-0574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Williamson St Ste H",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537034531",
            "country_code": "US",
            "telephone_number": "608-785-9866",
            "fax_number": "844-364-6205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543014107",
            "country_code": "US",
            "telephone_number": "920-437-7400",
            "fax_number": "920-437-1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5250 Leetsdale Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461451",
            "country_code": "US",
            "telephone_number": "303-393-8050",
            "fax_number": "303-320-1953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 57th St",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531404069",
            "country_code": "US",
            "telephone_number": "262-657-6644",
            "fax_number": "262-657-6949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 S Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543014015",
            "country_code": "US",
            "telephone_number": "920-437-7400",
            "fax_number": "920-437-1040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4309 E 50th Ter Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641308500",
            "country_code": "US",
            "telephone_number": "816-561-8784",
            "fax_number": "877-286-3519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIVENT HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "SR. DIRECTOR OF CORPORATE SERVICES",
        "authorized_official_telephone_number": "414-225-1568",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38390700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32895000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42228200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43089200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.