Active NPI
Edwin Rivera, MD
- Diagnostic Radiology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME0077277
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35375 | Other | FL | BCBS |
| 51096831RIV | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Baptist Hospital
- Gulf Breeze Hospital
- HCA Florida West Hospital
- Jay Hospital
- Northwest Florida Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09339R | LA | MD | Anesthesiology Physician |
| ME0077277 | FL | MD | Body Imaging Physician |
| ME077277 | FL | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic, PA | Current | Accepting new patients | |
| West Florida Medical Center Clinic PA | Past | Accepting new patients | |
| Baptist Imaging Center LLC | Past | 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.
-
dba Medical Center Clinic
- Multi-Specialty Clinic/Center
- Pensacola, FL
- NPI 1568452688
-
dba Acumen Medical Imaging & Interventional
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1396759684
AL
-
- Radiology Clinic/Center
- Pensacola, FL
- NPI 1477735207
-
dba Medical Center Clinic Ambulatory Surgical Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
dba Gulf Breeze Hospital
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- Critical Access Hospital
- Jay, FL
- NPI 1912918277
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
-
dba HCA Florida West Hospital
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.