Individual provider Active NPI

Felix Manuel Marti Rivera, M.D.

  • Family Medicine Physician
  • San Angelo, TX
National Provider Identifier
1275969941
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7741 Issued in TX
Practice address
2142 Sunset Dr
San Angelo, TX 76904-6829
Phone
(325) 245-4211
NPI assigned
Sep 25, 2013
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19097 PR
Family Medicine Physician 207Q00000X Q7741 TX Primary

Addresses

Primary practice location

2142 Sunset Dr
San Angelo, TX 76904-6829

Mailing address

2142 Sunset Dr
San Angelo, TX 76904-6829
Phone (787) 972-8987

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629000434 TX Practitioner - Family Practice 7214228857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone (325) 747-1511

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

2142 Sunset Dr
San Angelo, TX 76904-6829
Phone (325) 747-1511

220 E Harris Ave
San Angelo, TX 76903-5906
Phone (325) 747-1511

2626 N Bryant Blvd
San Angelo, TX 76903-2861
Phone (325) 747-1511

3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-7500

3502 Knickerbocker Rd
San Angelo, TX 76904-7671
Phone (325) 747-2222

3555 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 747-1511

4235 Southwest Blvd
San Angelo, TX 76904-5635
Phone (325) 747-1511

4251 Sunset Dr
San Angelo, TX 76904-5653
Phone (325) 747-2226

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19097PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Current Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Shannon Clinic Family Medicine CurrentSince Oct 4, 2020 Accepting new patients

Locations

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

2142 Sunset Dr
San Angelo, TX 76904
Phone (325) 245-4211

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

Interoperability endpoints

  • Direct secure messaging: fmarti38917@shannonhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1275969941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046829",
            "telephone_number": "787-972-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046829",
            "telephone_number": "325-245-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTI RIVERA",
        "first_name": "FELIX",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "19097",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.