Individual provider Active NPI

Daniel Luis Rivas, D.O.

  • Emergency Medicine Physician
  • Hudson, OH
National Provider Identifier
1184737157
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
010074 Issued in OH
Practice address
5700 Darrow Rd
Suite 106
Hudson, OH 44236-5026
Phone
(330) 656-5911
Fax
(330) 656-5901
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO 770 AL
Family Medicine Physician 207Q00000X DO 770 AL
Emergency Medicine Physician 207P00000X 010074 OH Primary
Family Medicine Physician 207Q00000X 010074 OH

Addresses

Primary practice location

5700 Darrow Rd
Suite 106
Hudson, OH 44236-5026

Mailing address

5700 Darrow Rd
Suite 106
Hudson, OH 44236-5026
Phone (330) 656-5911

Other identifiers 3

IdentifierTypeStateIssuer
051521703RIVOtherALBLUESHIELDBLUECROSS OF AL
009953825MedicaidAL
051521702RIVOtherALBLUECROSSBLUESHIELD OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040421001898 AL Practitioner - Emergency MedicinePractitioner - Family Practice 6608862032 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 770ALMDFamily Medicine Physician
010074OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Cherokee County Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Weiss Lake Hospitalists, LLC CurrentSince Dec 15, 2019 Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Memorial Hospital of Geneva Emergency Medicine Past Accepting new patients
Chattooga River Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1010 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-3218

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1184737157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365026",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365026",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "DANIEL",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO 770",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO 770",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "010074",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "010074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELDBLUECROSS OF AL",
            "identifier": "051521703RIV",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009953825",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF AL",
            "identifier": "051521702RIV",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.