Individual provider Active NPI

Mari Ann Rivera, MD

  • Gastroenterology Physician
  • Winter Park, FL
National Provider Identifier
1154550051
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME127640 Issued in FL
Practice address
1925 Mizell Ave Ste 201
Winter Park, FL 32792-4155
Phone
(407) 646-7015
Fax
(407) 646-7935
NPI assigned
Jul 13, 2009
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME127640 FL Primary

Addresses

Primary practice location

1925 Mizell Ave Ste 201
Winter Park, FL 32792-4155

Mailing address

2005 Mizell Ave Ste 2100
Winter Park, FL 32792-4126
Phone (407) 646-7015

Other practice location 1

8000 Red Bug Lake Rd Ste 209
Oviedo, FL 32765-9226
Phone (407) 278-1322

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160707002587 FL Practitioner - Gastroenterology 7315175460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1925 Mizell Ave
Winter Park, FL 32792-4155

2415 N Orange Ave
Orlando, FL 32804-5505

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy87
Upper gastrointestinal (GI) endoscopy for acid reflux88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Feb 19, 2018 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 19, 2018 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

258 S Chickasaw Trl
Ste 201
Orlando, FL 32825
Phone (407) 303-6626

8000 Red Bug Lake Rd
Ste 209
Oviedo, FL 32765

100 N Edinburgh Dr
Ste 104
Winter Park, FL 32792

1925 Mizell Ave
Ste 201
Winter Park, FL 32792
Phone (407) 303-7399

2005 Mizell Ave
Ste 2100
Winter Park, FL 32792
Phone (407) 303-4190

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mrivera73385@adventhealth.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1154550051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 MIZELL AVE STE 2100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924126",
            "telephone_number": "407-646-7015",
            "fax_number": "407-646-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 MIZELL AVE STE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924155",
            "telephone_number": "407-646-7015",
            "fax_number": "407-646-7935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Red Bug Lake Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327659226",
            "country_code": "US",
            "telephone_number": "407-278-1322",
            "fax_number": "407-278-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MARI",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME127640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.