Individual provider Active NPI

Luis Gabriel Rivera Sanchez, M.D.

  • Surgical Oncology Physician
  • New York, NY
National Provider Identifier
1003221094
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
316762 Issued in NY
Practice address
325 W 15TH St
New York, NY 10011-5903
Phone
(212) 604-6000
Fax
(212) 367-1718
NPI assigned
Jun 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 316762 NY Primary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 473289 PA

Addresses

Primary practice location

325 W 15TH St
New York, NY 10011-5903

Mailing address

150 E 42ND St FL 10
New York, NY 10017-5612
Phone (646) 605-8119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220801003300 NY Practitioner - Surgical Oncology 9436531803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Ponce School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

325 W 15TH St
Tisch Dept of Mount Sinai
New York, NY 10011-5903
Phone (212) 367-1891

Hospital & facility affiliations

  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
473289PAMDSurgery Physician
316762NYMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty Past Accepting new patients

Locations

8201 37th Ave
Jackson Hts, NY 11372
Phone (718) 335-5800

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

325 W 15th St
New York, NY 10011
Phone (212) 523-5938

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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 9

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1003221094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 42ND ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175612",
            "telephone_number": "646-605-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W 15TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115903",
            "telephone_number": "212-604-6000",
            "fax_number": "212-367-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SANCHEZ",
        "first_name": "LUIS",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "316762",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "473289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.