Individual provider Active NPI

Gustavo D Rivera, MD

  • Gastroenterology Physician
  • Naples, FL
National Provider Identifier
1154573830
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME118032 Issued in FL
Practice address
1064 Goodlette Road
Naples, FL 34102
Phone
(239) 649-1186
Fax
(239) 649-1156
NPI assigned
Oct 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27156R PR
Gastroenterology Physician 207RG0100X ME118032 FL Primary

Addresses

Primary practice location

1064 Goodlette Road
Naples, FL 34102

Mailing address

1064 Goodlette Road
Naples, FL 34102
Phone (239) 649-1186

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
I20140624000881 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 4880818327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1064 Goodlette-Frank Rd N
Naples, FL 34102-5449
Phone (239) 649-1186

4790 Barkley Cir
Suite a
Fort Myers, FL 33907-7593
Phone (239) 275-8882

9776 Bonita Beach Rd SE
Suite 202F
Bonita Springs, FL 34135-4775
Phone (239) 275-8882

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy251
Upper gastrointestinal (GI) endoscopy for acid reflux271

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27156RPRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Southwest Florida LLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Gastroenterology Group of Naples PA Gastroenterology CurrentSince Jul 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9776 Bonita Beach Rd SE
Ste 202F
Bonita Springs, FL 34135
Phone (239) 275-8882

4790 Barkley Cir
Ste A
Fort Myers, FL 33907
Phone (239) 275-8882

1064 Goodlette Rd
Naples, FL 34102
Phone (239) 649-1186

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gustavo.rivera@ud.eclinicaldirectplus.com

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.

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1154573830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 GOODLETTE ROAD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34102",
            "telephone_number": "239-649-1186",
            "fax_number": "239-649-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 GOODLETTE ROAD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34102",
            "telephone_number": "239-649-1186",
            "fax_number": "239-649-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "GUSTAVO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "27156R",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME118032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.