Individual provider Active NPI

Philip Andrew Rivera, MD

  • Vascular Surgery Physician
  • Bel Air, MD
National Provider Identifier
1154748531
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D95099 Issued in MD
Practice address
520 Upper Chesapeake Dr Ste 306
Bel Air, MD 21014-4375
Phone
(410) 879-2006
NPI assigned
Mar 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D95099 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr Ste 306
Bel Air, MD 21014-4375

Mailing address

520 Upper Chesapeake Dr Ste 306
Bel Air, MD 21014-4375
Phone (410) 879-2006

Other practice location 1

1840 York Rd Ste E
Lutherville, MD 21093-5121
Phone (443) 991-4745

Other practice location 2

7505 Osler Dr Ste 302
Towson, MD 21204-7738
Phone (410) 296-3845

Other practice location 3

3435 Box Hill Corporate Center Dr Ste H
Abingdon, MD 21009-1204
Phone (443) 456-3664

Other practice location 4

111 W High St Ste 103
Elkton, MD 21921-5549
Phone (443) 406-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220728001201 MD Practitioner - General Surgery 9335565019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Surgery Associates LLCGroup PAC ID 3173500410, 13 clinicians

Practice addresses (Care Compare)

10 Crossroads Dr
Owings Mills, MD 21117-5458
Phone (410) 879-2006

1840 York Rd
Suite E F
Timonium, MD 21093-5121
Phone (443) 991-4745

3435 Boxhill Corporate Ctr Dr
Suite H
Abingdon, MD 21009-1204
Phone (410) 879-2006

520 Upper Chesapeake Dr
Suite 306
Bel Air, MD 21014-4375
Phone (410) 879-2006

6569 N Charles St
Suite 701
Towson, MD 20204-6832
Phone (410) 825-4928

902 Washington Rd
Suite E
Westminster, MD 21157-5832
Phone (855) 654-9982

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
73.85
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion1-10
Varicose vein removal29
Leg revascularization (restoring blood flow)57
Removal of tissue43
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgery Associates, L.L.C. Vascular Surgery CurrentSince Sep 5, 2022 Accepting new patients
Vascular Surgery Associates, L.L.C. CurrentSince Sep 5, 2022 Accepting new patients

Locations

3435 Box Hill Corporate Center Dr
Ste H
Abingdon, MD 21009
Phone (410) 879-2006

2411 W Belvedere Ave
Ste 301
Baltimore, MD 21215
Phone (410) 601-0500

520 Upper Chesapeake Dr
Ste 306
Bel Air, MD 21014
Phone (410) 879-2006

111 W High St
Ste 303
Elkton, MD 21921
Phone (410) 392-2380

111 W High St
Ste 103
Elkton, MD 21921
Phone (410) 836-0131

4801 Dorsey Hall Dr
Ste 206
Ellicott City, MD 21042
Phone (918) 218-7320

3300 North Ridge Rd
Ste 100
Ellicott City, MD 21043
Phone (443) 819-3710

77 Thomas Johnson Dr
Ste E
Frederick, MD 21702
Phone (301) 695-8346

253 Lewis Ln
Ste 304
Hvre de Grace, MD 21078

10 Crossroads Dr
Owings Mills, MD 21117
Phone (410) 469-4400

1838 Greene Tree Rd
Ste 430
Pikesville, MD 21208
Phone (410) 602-8637

22 Truck House Rd
Ste 2
Severna Park, MD 21146

1840 York Rd
Ste E
Timonium, MD 21093
Phone (410) 252-4015

7505 Osler Dr
Ste 302
Towson, MD 21204
Phone (410) 337-1783

6569 N Charles St
Ste 701
Towson, MD 21204
Phone (410) 825-4928

902 Washington Rd
Ste E
Westminster, MD 21157
Phone (410) 876-0286

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: philip.rivera.p1@direct.vsadocs.nextgenshare.com
  • Direct secure messaging: privera1018607@direct.hopkinsmedicine.org
  • Direct secure messaging: privera928765@direct.umm.edu

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 6

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1154748531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 306",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144375",
            "telephone_number": "410-879-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 306",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144375",
            "telephone_number": "410-879-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 York Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935121",
            "country_code": "US",
            "telephone_number": "443-991-4745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 Osler Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047738",
            "country_code": "US",
            "telephone_number": "410-296-3845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3435 Box Hill Corporate Center Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "MD",
            "postal_code": "210091204",
            "country_code": "US",
            "telephone_number": "443-456-3664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W High St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215549",
            "country_code": "US",
            "telephone_number": "443-406-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PHILIP",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D95099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.