Active NPI
Peter David Rivera, M.D.
- Anesthesiology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 157479
- Practice address
- 177 Everidge Road
Winston-Salem, NC 27103 - Phone
- (336) 529-6353
- NPI assigned
- Jun 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 157479 | NC | Primary |
Addresses
Primary practice location
177 Everidge Road
Winston-Salem, NC 27103
Mailing address
177 Everidge Rd
Winston Salem, NC 27103
Phone (336) 529-6353
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of South Florida College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (954) 939-5000
900 Carillon Pkwy
Suite 205
Saint Petersburg, FL 33716-1108
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157479 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
Locations
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1659943835
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246320000000",
"number": "1073741997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 EVERIDGE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-529-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 EVERIDGE ROAD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-529-6353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "PETER",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2009-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "157479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.