A Rivera Medical Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101230403 Issued in VA

Legal business name

A RIVERA MEDICAL SERVICES LLC

Practice address

6319 Castle PL
Ste 1 E
Falls Church, VA 22044-1907

Phone

(703) 532-1222

NPI assigned

Jun 13, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Antonio R Rivera, M.D.NPI 1649212978

Title

Ceo

Phone

(703) 532-1222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antonio R. Rivera, M.D.

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1649212978

  DC

  Medicare reassignment NPD Authorized official
• Huseyin Dogan

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1992272595
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1205879079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 CASTLE PL",
            "address_2": "STE 1 E",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441907",
            "telephone_number": "703-532-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 CASTLE PL",
            "address_2": "STE 1 E",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441907",
            "telephone_number": "703-532-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A RIVERA MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-532-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "CS9911050",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.