Individual provider Active NPI

Kevin Y Rivera Colon, MD

  • Diagnostic Radiology Physician
  • Manchester, NH
National Provider Identifier
1003889759
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12815 Issued in NH
Practice address
100 Hitchcock Way
Manchester, NH 03104-4125
Phone
(603) 695-2500
NPI assigned
Feb 10, 2006
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35C.002102 OH
Diagnostic Radiology Physician 2085R0202X 12815 NH Primary

Addresses

Primary practice location

100 Hitchcock Way
Manchester, NH 03104-4125

Mailing address

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

Other practice location 1

395 W 12th Ave
Columbus, OH 43210-1267
Phone (614) 293-8315

Other identifiers 1

IdentifierTypeStateIssuer
30205146MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, NC, IL, IN, WI, PA, TX7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20050714000414 NH Practitioner - Diagnostic Radiology 8628038478 Reassigns benefits to 10 organizations
I20151209002039 NC Practitioner - Diagnostic Radiology 8628038478 Reassigns benefits to 1 organization
I20240805001745 IL Practitioner - Diagnostic Radiology 8628038478 Reassigns benefits to 1 organization
I20250606001147 IN Practitioner - Diagnostic Radiology 8628038478 Reassigns benefits to 1 organization
I20250725001401 WI Practitioner - Diagnostic Radiology 8628038478 Reassigns benefits to 1 organization
I20250924004383 PA Practitioner - Diagnostic Radiology 8628038478 Reassigns benefits to 1 organization
I20260513004119 TX Practitioner - Diagnostic Radiology 8628038478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Pennsylvania Radiology Associates PCGroup PAC ID 4385170810, 48 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Radiology Associates of North Carolina PCGroup PAC ID 8628507811, 36 clinicians
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians
Southern New Hampshire Radiology Consultants PCGroup PAC ID 2769436088, 39 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

116 Steeplechase Ave
Mooresville, NC 28117-9179
Phone (469) 757-1042

2300 Southwood Dr
Nashua, NH 03063-1818
Phone (603) 577-4000

253 Pleasant St
Concord, NH 03301-7560
Phone (603) 226-2200

300 Evergreen Dr
Suite 210
Glen Mills, PA 19342-1059
Phone (610) 579-3500

48 Sofia Way
Nottingham, NH 03290-5825
Phone (615) 312-0600

6 Sundance LN
Bow, NH 03304-4908
Phone (469) 757-1042

703 Riverway PL
Bedford, NH 03110-6768
Phone (603) 627-1661

800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
62.57
Promoting interoperability
100
Improvement activities
40
Cost
77.37

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35C.002102OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Dec 13, 2025 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Oct 19, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Apr 25, 2025 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Christiana Care Pennsylvania Inc Diagnostic Radiology Current Accepting new patients
Graham Hospital Association CurrentSince Jul 21, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Graham Hospital Association CurrentSince Jul 21, 2024 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Sep 10, 2025 Accepting new patients
Graham Hospital Association Current Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince Sep 2, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Aug 4, 2025 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Sep 10, 2025 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Jul 16, 2025 Accepting new patients
North Country Hospital & Health Center Inc Diagnostic Radiology Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Wisconsin Radiology Specialists, S C Past Accepting new patients

Locations

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

5066 N 900 E
Montgomery, IN 47558
Phone (812) 254-4650

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

395 W 12th Ave
Columbus, OH 43210
Phone (614) 293-8299

300 Evergreen Dr
Ste 210
Glen Mills, PA 19342
Phone (610) 566-9400

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

Organizations & group practices 26

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

View all 26

Hospital & facility affiliations 7

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1003889759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HITCHCOCK WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044125",
            "telephone_number": "603-695-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HITCHCOCK WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044125",
            "telephone_number": "603-695-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA COLON",
        "first_name": "KEVIN",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35C.002102",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "12815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205146",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.