Individual provider Active NPI

Miguel Pablo Rivera, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Metairie, LA
National Provider Identifier
1104840404
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
07271R Issued in LA
Practice address
3939 Houma Blvd
Suite 216
Metairie, LA 70006-6673
Phone
(504) 888-3292
Fax
(504) 888-3692
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 07271R LA Primary

Addresses

Primary practice location

3939 Houma Blvd
Suite 216
Metairie, LA 70006-6673

Mailing address

3939 Houma Blvd
Suite 216
Metairie, LA 70006-6673
Phone (504) 888-3292

Other identifiers 2

IdentifierTypeStateIssuer
110042235OtherLARAILROAD MEDICARE
1377392MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101018000564 LA Practitioner - EndocrinologyPractitioner - Internal Medicine 2264625722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4213 Saxon St
Suite 101
Metairie, LA 70006-4187
Phone (504) 888-3292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07271RLAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miguel P. Rivera, M.D. a.P.M.C. Internal Medicine CurrentSince Jun 24, 1991 Accepting new patients
Hector Montalvo MD Inc Internal Medicine Past Accepting new patients

Locations

4213 Saxon St
Ste 101
Metairie, LA 70006
Phone (504) 454-5824

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

3939 Houma Blvd
Ste 216
Metairie, LA 70006
Phone (504) 455-9441

Interoperability endpoints

  • Direct secure messaging: miguel@rivera.providersdirect.com

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.

Hospital & facility affiliations 4

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1104840404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE 216",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066673",
            "telephone_number": "504-888-3292",
            "fax_number": "504-888-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE 216",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066673",
            "telephone_number": "504-888-3292",
            "fax_number": "504-888-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MIGUEL",
        "middle_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "07271R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110042235",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1377392",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.