Individual provider Active NPI

Rafael E Caban Rivera

  • Emergency Medicine Physician
  • Bronx, NY
National Provider Identifier
1093060949
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
283622 Issued in NY
Practice address
1400 Pelham Pkwy S
Building 6//Suite B125
Bronx, NY 10461-1138
Phone
(718) 918-5000
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 283622 NY Primary

Addresses

Primary practice location

1400 Pelham Pkwy S
Building 6//Suite B125
Bronx, NY 10461-1138

Mailing address

328 E 94TH St
Apt 1a
New York, NY 10128-5662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160915001541 NY Practitioner - Emergency Medicine 5193011237 Reassigns benefits to 4 organizations
I20190816002740 NC Practitioner - Emergency Medicine 5193011237 Reassigns benefits to 2 organizations
I20191205000868 TX Practitioner - Emergency Medicine 5193011237 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283622NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 Accepting new patients
Montefiore Medical Center CurrentSince Jun 25, 2016 Accepting new patients
Corning Hospital Emergency Medicine CurrentSince Mar 10, 2022 Accepting new patients
Tuba City Regional Health Care Corporation Emergency Medicine Current Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Oct 23, 2019 Accepting new patients
Yadkin Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Tuba City Regional Health Care Corporation Family Medicine CurrentSince Oct 23, 2019 Accepting new patients
Robeson Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Great Lakes Physician Practice PC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince Jan 11, 2021 Accepting new patients
Montefiore Medical Center Emergency Medicine CurrentSince Jun 25, 2016 Accepting new patients
Corning Hospital CurrentSince Mar 10, 2022 Accepting new patients

Locations

350 E Devon Ave
Itasca, IL 60143

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: rcabanrivera172704@direct-guthrie.org
  • Direct secure messaging: rcabanri@montefioredirect.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1093060949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 E 94TH ST",
            "address_2": "APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "BUILDING 6//SUITE B125",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABAN RIVERA",
        "first_name": "RAFAEL",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "283622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.