Individual provider Active NPI

Juan J Rivera, D.P.M.

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1003893538
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2416 Issued in FL
Practice address
2835 W de Leon St
Suite 101
Tampa, FL 33609-4168
Phone
(813) 254-6592
Fax
(813) 254-3634
NPI assigned
Dec 27, 2005
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2416 FL Primary

Addresses

Primary practice location

2835 W de Leon St
Suite 101
Tampa, FL 33609-4168

Mailing address

2835 W de Leon St
Suite 101
Tampa, FL 33609-4168
Phone (813) 254-6592

Other identifiers 2

IdentifierTypeStateIssuer
65329OtherFLBLUE CROSS BLUE SHIELD
2700454OtherFLUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000448 FL Practitioner - Podiatry 9133254113 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nannette Diaz DPM PAGroup PAC ID 9234239054, 2 clinicians

Practice addresses (Care Compare)

3355 W Bearss Ave
Tampa, FL 33618-2100
Phone (813) 960-1517

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue136
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Center of Tampa Bay Podiatrist CurrentSince Jul 1, 1994 Accepting new patients
Ankle & Foot Center of Tampa Bay Podiatrist CurrentSince Jul 1, 1994 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 9, 2021 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince Nov 9, 2021 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Nannette Diaz DPM PA Podiatrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

13907 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 963-1833

2835 W De Leon St
Ste 101
Tampa, FL 33609
Phone (813) 254-4747

3355 W Bearss Ave
Tampa, FL 33618
Phone (813) 443-4549

2039 Little Rd
#A
Trinity, FL 34655
Phone (727) 845-0880

2039 Little Rd
Ste A
Trinity, FL 34655
Phone (727) 761-4184

2039 Little Rd
Ste B
Trinity, FL 34655
Phone (727) 845-0880

38105 13th Ave
Zephyrhills, FL 33542
Phone (813) 715-4747

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: juan.rivera.2@4399.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1003893538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094168",
            "telephone_number": "813-254-6592",
            "fax_number": "813-254-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094168",
            "telephone_number": "813-254-6592",
            "fax_number": "813-254-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JUAN",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65329",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.