Individual provider Active NPI

Douglas Jason Rivera, MD

  • Radiation Oncology Physician
  • Georgetown, TX
National Provider Identifier
1073583274
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
M2048 Issued in TX
Practice address
2000 Scenic Dr Ste G002
Georgetown, TX 78626-7726
Phone
(512) 531-5200
Fax
(512) 865-4068
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X M2048 TX Primary

Addresses

Primary practice location

2000 Scenic Dr Ste G002
Georgetown, TX 78626-7726

Mailing address

2000 Scenic Dr Ste G002
Georgetown, TX 78626-7726
Phone (512) 531-5200

Other identifiers 1

IdentifierTypeStateIssuer
173387101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050929000360 TX Practitioner - Radiation OncologyPractitioner - Internal Medicine 5193750008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Nevada School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124

Merit-based Incentive Payment System (MIPS)

Final score
83.12 of 100Reported as group
Quality
71.66
Improvement activities
40
Cost
74.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Integrated Medical Specialists, PLLC Radiation Oncology CurrentSince Nov 1, 2022 Accepting new patients
Central Texas Medical Specialists, PLLC CurrentSince Mar 1, 2013 Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Aug 1, 2025 Accepting new patients
Central Texas Medical Specialists PLLC Radiation Oncology CurrentSince Mar 1, 2013 Accepting new patients
Texas Oncology PA Radiation Oncology Current Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Aug 1, 2025 Accepting new patients
Austin Texas Radiation Oncology Group, PA Past Accepting new patients

Locations

9715 Burnet Rd
Ste 200
Austin, TX 78758
Phone (512) 334-2866

12201 Renfert Way
Ste 245
Austin, TX 78758
Phone (512) 277-7500

805 W 37th St
Austin, TX 78705
Phone (512) 421-4100

1400 N Interstate 35
Austin, TX 78701
Phone (512) 324-8565

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

900 E 30th St
Ste 120
Austin, TX 78705

2600 E Mlk Blvd
Austin, TX 78702
Phone (512) 334-2600

900 E 30th St
Ste 100
Austin, TX 78705
Phone (512) 334-2777

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

11111 Research Blvd
Ste LL2
Austin, TX 78759
Phone (512) 334-2665

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2000 Scenic Dr
Ste G2
Georgetown, TX 78626
Phone (512) 531-5200

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

1180 Seton Pkwy
Ste 150
Kyle, TX 78640
Phone (512) 358-9428

200 Medical Pkwy
Ste 120
Lakeway, TX 78738
Phone (512) 334-2654

16030 Park Valley Dr
Ste 201
Round Rock, TX 78681
Phone (512) 518-4673

Interoperability endpoints

  • Direct secure messaging: douglas.rivera@txo.ikm.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1073583274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR STE G002",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "512-531-5200",
            "fax_number": "512-865-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SCENIC DR STE G002",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267726",
            "telephone_number": "512-531-5200",
            "fax_number": "512-865-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DOUGLAS",
        "middle_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "M2048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173387101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.