Individual provider Active NPI

Eileen Rivero, DPM

  • Primary Podiatric Medicine Podiatrist
  • Cape Coral, FL
National Provider Identifier
1013407311
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO4203 Issued in FL
Practice address
2307 Bolado Pkwy
Cape Coral, FL 33990-2712
Phone
(786) 510-1819
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Primary Podiatric Medicine Podiatrist 213EP1101X PO4203 FL Primary

Addresses

Primary practice location

2307 Bolado Pkwy
Cape Coral, FL 33990-2712

Mailing address

1338 Chalon LN
Fort Myers, FL 33919-3425
Phone (786) 101-1819

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
I20210917000176 FL Practitioner - Podiatry 3476950452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot and Leg Center PAGroup PAC ID 3678506326, 16 clinicians

Practice addresses (Care Compare)

730 Goodlette Rd
Suite 102
Naples, FL 34102-5617
Phone (239) 430-3366

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue78
Removal or shaving of skin growth35
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot and Leg Center PA Primary Podiatric Medicine CurrentSince Jan 2, 2024 Accepting new patients
Family Foot and Leg Center PA CurrentSince Jan 2, 2024 Accepting new patients

Locations

12250 Tamiami Trl E
Ste 101
Naples, FL 34113
Phone (239) 417-2256

730 Goodlette Rd
Ste 102
Naples, FL 34102
Phone (231) 343-2027

Interoperability endpoints

  • Direct secure messaging: eileen.rivero.1@9455.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9455/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1013407311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 CHALON LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193425",
            "telephone_number": "786-101-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 BOLADO PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902712",
            "telephone_number": "786-510-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.