Individual provider Active NPI

Edwin Rivera, MD

  • Diagnostic Radiology Physician
  • Pensacola, FL
National Provider Identifier
1174539134
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0077277 Issued in FL
Practice address
1000 W Moreno St
Pensacola, FL 32501-2316
Phone
(850) 436-4951
Fax
(850) 438-6767
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X ME0077277 FL
Nuclear Radiology Physician 2085N0904X ME0077277 FL
Pediatric Radiology Physician 2085P0229X ME077277 FL
Diagnostic Radiology Physician 2085R0202X ME0077277 FL Primary
Radiological Physics Physician 2085R0205X ME0077277 FL
Diagnostic Ultrasound Physician 2085U0001X ME0077277 FL

Addresses

Primary practice location

1000 W Moreno St
Pensacola, FL 32501-2316

Mailing address

PO Box 622047
Orlando, FL 32862-2047
Phone (850) 436-4951

Other identifiers 2

IdentifierTypeStateIssuer
35375OtherFLBCBS
51096831RIVOtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080408000646 FL Practitioner - Diagnostic Radiology 6800973363 Reassigns benefits to 2 organizations
I20120126000407 AL Practitioner - Diagnostic Radiology 6800973363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Pensacola PAGroup PAC ID 0749240836, 20 clinicians

Practice addresses (Care Compare)

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000

121 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3400

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (850) 438-6784

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

14114 Alabama St
Jay, FL 32565-1219
Phone (850) 675-8000

2695 Edmund Dr
Dr Rivera Home Office
Gulf Breeze, FL 32563-3708
Phone (850) 432-6851

5100 N 12TH Ave
Pensacola, FL 32504-8919
Phone (850) 432-6851

8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8000

8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone (850) 494-4000

8888 Navarre Pkwy
Navarre, FL 32566-3615
Phone (850) 939-4888

9400 University Pkwy
Pensacola, FL 32514-5752
Phone (850) 208-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09339RLAMDAnesthesiology Physician
ME0077277FLMDBody Imaging Physician
ME077277FLMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Center Clinic, PA CurrentSince Feb 3, 2025 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Baptist Imaging Center LLC PastSince Apr 1, 2008 Accepting new patients

Locations

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1717 N E St
Ste 300
Pensacola, FL 32501
Phone (850) 444-4741

Organizations & group practices 4

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 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1174539134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622047",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328622047",
            "telephone_number": "850-436-4951",
            "fax_number": "850-438-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012316",
            "telephone_number": "850-436-4951",
            "fax_number": "850-438-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME0077277",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME0077277",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "FL",
            "license": "ME077277",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0077277",
            "primary": true
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "FL",
            "license": "ME0077277",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "ME0077277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35375",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51096831RIV",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.