NPIMap

Individual provider Active NPI

Andrew Rivera, MD

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1124550561
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME160987 Issued in FL
Practice address
14551 Hope Center Loop
Fort Myers, FL 33912-4704
Phone
(239) 936-2316
Fax
(239) 834-6106
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 315629 NY
Diagnostic Radiology Physician 2085R0202X ME160987 FL Primary

Addresses

Primary practice location

14551 Hope Center Loop
Fort Myers, FL 33912-4704

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

Other practice location 1

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Direct
Direct Messaging Address arivera215773@direct.hss.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, ND, NY4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230322000251 FL Practitioner - Diagnostic Radiology 0840538393 Reassigns benefits to 2 organizations
I20240614003572 MN Practitioner - Diagnostic Radiology 0840538393 Reassigns benefits to 8 organizations
I20240703001846 ND Practitioner - Diagnostic Radiology 0840538393 Reassigns benefits to 2 organizations
I20240718001086 NY Practitioner - Diagnostic Radiology 0840538393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Regional Medical CenterGroup PAC ID 7214821909, 120 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Radiology CharteredGroup PAC ID 1557394988, 39 clinicians
Consulting Radiologists LTDGroup PAC ID 7719899962, 77 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 428-3000

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

Orlando, FL 32801-6631
Phone (920) 499-1428

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

913 E 26TH St
Minneapolis, MN 55404-4515
Phone (612) 863-3150

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Duluth, MN, CCN 240047
  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049
  • Northfield Hospital Hospital, Northfield, MN, CCN 240014
  • Olmsted Medical Center Hospital, Rochester, MN, CCN 240006
  • St Josephs Area Health Services Hospital, Park Rapids, MN, CCN 241380

National Provider Directory

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

Practice roles (27 of 28)

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Aug 1, 2024 Accepting new patients
St. Francis Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Allina Health System CurrentSince Aug 1, 2024 Accepting new patients
Allina Health System CurrentSince Aug 1, 2024 Accepting new patients
Diagnostic Imaging Associates Diagnostic Radiology CurrentSince May 10, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Aug 1, 2024 Accepting new patients
Olmsted Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
St Francis Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Radiology Chartered Diagnostic Radiology CurrentSince Aug 11, 2025 Accepting new patients
Olmsted Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Mercy Medical Center Diagnostic Radiology CurrentSince Jul 25, 2024 Accepting new patients
Mercy Home Care CurrentSince Jul 25, 2024 Accepting new patients
Madelia Health Current Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology CurrentSince Feb 18, 2024 Accepting new patients
Allegiance Hospital of Many, LLC Past Accepting new patients
Pontchartrain Diagnostic Imaging LLC Diagnostic Radiology Past Accepting new patients
CLHG-Oakdale, LLC Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Aug 1, 2024 Accepting new patients
Bienville Medical Center Physician Group Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. PastSince May 10, 2024 Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients

Locations

14551 Hope Center Loop
Fort Myers, FL 33912
Phone (239) 936-4068

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

3369 Solutions Ctr
Chicago, IL 60677

1006 Highland Ave
Shreveport, LA 71101
Phone (318) 222-6226

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

6525 France Ave S
Ste 110
Edina, MN 55435
Phone (952) 285-3720

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

913 E 26th St
Ste 402
Minneapolis, MN 55404
Phone (612) 845-6212

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

1789 Shawano Ave
Green Bay, WI 54303

Networks

  • Freedom Health HMO Network

Organizations & group practices 27

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 27

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1124550561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-834-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124704",
            "telephone_number": "239-936-2316",
            "fax_number": "239-834-6106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7595 Anagram Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447399",
            "country_code": "US",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "315629",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME160987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arivera215773@direct.hss.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.