Rebecca Jean Reilly-Nivers, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1618 Issued in TX

Practice address

12705 Rio Bravo St
Rosharon, TX 77583-4073

Phone

(281) 369-7064

Fax

(281) 369-7073

NPI assigned

Oct 6, 2005

Last updated

Oct 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lymphedema and Wound Care Consultants of America, Inc.Group PAC ID 2365469301, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lymphedema & Wound Care Consultants of America, Inc.

  • Clinic/Center
  • Webster, TX
  • NPI 1013933605
  Medicare reassignment Care Compare group NPD
• Texas Mobile Foot Consultants, LLC

  • Foot Surgery Podiatrist
  • Pasadena, TX
  • NPI 1205076494
  NPD (past) Authorized official
• Lymphedema & Wound Institute, Inc.

  • Clinic/Center
  • Houston, TX
  • NPI 1356859615
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1265420053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 RIO BRAVO ST",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775834073",
            "telephone_number": "832-526-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 RIO BRAVO ST",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775834073",
            "telephone_number": "281-369-7064",
            "fax_number": "281-369-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY-NIVERS",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0927915-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zeeshan Jamil Raja, DDS, MPH
• Ashley Nicole Ramirez
• Redemptive Place LLC
• Kimetre R Reece, LPC
• Asia Janae Reed
• Repose Residential Living, LLC
• Repose Residential Living, LLC
• Reset & Rise Wellness Co., PLLC
• RMRB Holdings LLC (RMR Medical Transportation)
• Mia Roland

• Podiatrist in Rosharon, TX
• Providers in Rosharon, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.

Verify at the official NPI Registry.