Active NPI
Michelle a. Rivera MD PC
- Dermatology Physician
- Arlington, VA
National Provider Identifier
1174633804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101039759
- Legal business name
- MICHELLE A. RIVERA MD PC
- Practice address
- 1635 N George Mason Drive
Suite 400
Arlington, VA 22205 - Phone
- (703) 524-7206
- Fax
- (703) 524-7245
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle A Riveria, MD
- Title
- President
- Phone
- (703) 524-7206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101039759 | VA | Primary |
Addresses
Primary practice location
1635 N George Mason Drive
Suite 400
Arlington, VA 22205
Mailing address
1635 N George Mason Drive
Suite 400
Arlington, VA 22205
Phone (703) 524-7206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1635 N George Mason Dr
Ste 400
Arlington, VA 22205
Phone (703) 524-7206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192492800000",
"number": "1174633804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 N GEORGE MASON DRIVE",
"address_2": "SUITE 400",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22205",
"telephone_number": "703-524-7206",
"fax_number": "703-524-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 N GEORGE MASON DRIVE",
"address_2": "SUITE 400",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22205",
"telephone_number": "703-524-7206",
"fax_number": "703-524-7245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE A. RIVERA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2007-10-16",
"status": "A",
"authorized_official_last_name": "RIVERIA",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-524-7206",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "VA",
"license": "0101039759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.