Active NPI
Rowland J. Rivero, DO
- Family Medicine Physician
- Wauseon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34007881
- Practice address
- 725 S Shoop Ave
Wauseon, OH 43567-1702 - Phone
- (419) 330-2603
- NPI assigned
- May 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34007881 | OH | Primary |
| Emergency Medicine Physician | 207P00000X | 34.007881 | OH |
Addresses
Primary practice location
725 S Shoop Ave
Wauseon, OH 43567-1702
Mailing address
14040 Mohler Rd
Liberty Center, OH 43532-9407
Phone (419) 509-6687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2405132 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041209000019 | OH | Practitioner - Hospitalist | 4688630841 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Michigan State University College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ashland Emergency Group LLC
Practice addresses (Care Compare)
1600 E Riverview Ave
Napoleon, OH 43545-9399
Phone (419) 592-4015
Hospital & facility affiliations
- Henry County Hospital, Inc
- Promedica Toledo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007881 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| JTDM Family Practice LLC | Family Medicine | Past | Accepting new patients |
Locations
1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Napoleon, OH
- NPI 1073246971
Emergency Medicine, OH
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
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": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1154530368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14040 MOHLER RD",
"city": "LIBERTY CENTER",
"state": "OH",
"postal_code": "435329407",
"telephone_number": "419-509-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S SHOOP AVE",
"city": "WAUSEON",
"state": "OH",
"postal_code": "435671702",
"telephone_number": "419-330-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERO",
"first_name": "ROWLAND",
"middle_name": "J.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34007881",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.007881",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2405132",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauseon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.