Mario Roberto Rodriguez Rivera, M.D
Individual provider Active NPI Cardiovascular Disease Physician · Greenwood, SC
NPI 1013461615 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1013461615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 88578 (SC)
- Practice address
- 421 Epting Ave
Greenwood, SC 29646-4041 - Phone
- (864) 227-6818
- NPI assigned
- Aug 11, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Self Medical Group
Self Regional Healthcare
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818
Hospital & facility affiliations
- Self Regional Healthcare
- Abbeville Area Medical Center
- Edgefield County Healthcare an Affiliate of Self R
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230601003118 | SC | Practitioner - Cardiovascular Disease (Cardiology) | 9335485663 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (12 of 13)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Current | Accepting new patients | |
| Self Regional Healthcare Partners | Current | Accepting new patients | |
| Self Regional Healthcare | Current |
Accepting new patients | |
| Self Medical Group | Current |
Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Regional Healthcare Partners | Cardiovascular Disease | Current |
Accepting new patients |
| Abbeville County Memorial Hospital | Current |
Accepting new patients | |
| Abbeville County Memorial Hospital | Current |
Accepting new patients | |
| Self Regional Healthcare Partners | Current |
Accepting new patients | |
| Self Regional Healthcare | Cardiovascular Disease | Current |
Accepting new patients |
| Self Medical Group | Current |
Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6793
Chicago, IL 60675
75 Remittance Dr
Dept 6764
Chicago, IL 60675
420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649
905 W Greenwood St
Abbeville, SC 29620
Phone (864) 223-8090
155 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3146
300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865
421 Epting Ave
Greenwood, SC 29646
Phone (864) 227-6818
207 Holiday Rd
Mc Cormick, SC 29835
Phone (800) 922-4194
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
102 R L Sawyer Md Dr
Saluda, SC 29138
Phone (864) 445-2173
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- mrodriguezrivera540083@selfregional.direct-ci.net
- mrodriguezrivera993523@direct.carenet.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 88578 | SC | Yes |
Addresses
Primary practice location
421 Epting Ave
Greenwood, SC 29646-4041
Mailing address
421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818
NPI Registry JSON
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1013461615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 EPTING AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464041",
"telephone_number": "864-227-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 EPTING AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464041",
"telephone_number": "864-227-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ RIVERA",
"first_name": "MARIO",
"middle_name": "ROBERTO",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-11",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "88578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
- Barbara Spearman Robinson
- Hugh Coleman Robinson
- John G Robinson
- Rachel Robinson
- Jeffrey C Rockwell
- Heather Rodriguez
- Darian Rogers
- Lindsey Rogers
- Brittany Roman
- Melinda Lee Romosca
All providers in Greenwood, SC · Cardiovascular Disease Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.