Active NPI
Raul A Rivera, MD
- Internal Medicine Physician
- Pasadena, TX
National Provider Identifier
1205853843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J9302
- Practice address
- 3808 Woodlawn
Pasadena, TX 77504-1933 - Phone
- (713) 944-4042
- Fax
- (713) 944-5247
- NPI assigned
- Jul 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J9302 | TX | Primary |
Addresses
Primary practice location
3808 Woodlawn
Pasadena, TX 77504-1933
Mailing address
3808 Woodlawn
Pasadena, TX 77504-1933
Phone (713) 944-4042
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123992304 | Medicaid | TX | |
| 123992306 | Medicaid | TX | |
| 110149344 | Other | TX | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3808 Woodlawn Ave
Pasadena, TX 77504-7139
Phone (713) 944-4042
Hospital & facility affiliations
- HCA Houston Healthcare Southeast
- Memorial Hermann Hospital System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Rivera & Associates, P.a. | Internal Medicine | Current | Accepting new patients |
| General Infectious Disease Associates | Internal Medicine | Past | Accepting new patients |
Locations
3808 Woodlawn Ave
Pasadena, TX 77504
Phone (713) 378-0060
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGADAA/Endpoint/HGADAA
- rrivera468829@direct.stlukeshealth.org
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.
-
- Internal Medicine Physician
- Pasadena, TX
- NPI 1700803467
-
- Infectious Disease Physician
- Pasadena, TX
- NPI 1598779555
Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, TX
- NPI 1174576698
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1205853843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3808 WOODLAWN",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041933",
"telephone_number": "713-944-4042",
"fax_number": "713-944-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 WOODLAWN",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041933",
"telephone_number": "713-944-4042",
"fax_number": "713-944-5247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "RAUL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J9302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123992304",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123992306",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "110149344",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.