Individual provider Active NPI

Rosa Isabel Rincon - Rivero, M.D.

  • Pediatrics Physician
  • Worcester, MA
National Provider Identifier
1306168315
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
243334 Issued in MA
Practice address
45 Oak Ave
Worcester, MA 01605-2730
Phone
(508) 756-2020
Fax
(508) 756-0705
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 243334 MA Primary

Addresses

Primary practice location

45 Oak Ave
Worcester, MA 01605-2730

Mailing address

45 Oak Ave
Worcester, MA 01605-2730
Phone (508) 756-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110818000684 MA Practitioner - Pediatric Medicine 9931379435 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Jul 15, 2023 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Jul 15, 2023 Accepting new patients
Edward M. Kennedy Community Health Center, Inc Past Accepting new patients
Ian a. Harding MD PC Pediatrics Past Accepting new patients
Peter E Masucci, MD, PC Pediatrics Past Accepting new patients

Locations

41 Cape Rd
Milford, MA 01757
Phone (508) 270-5750

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

605 Lincoln St
Worcester, MA 01605
Phone (508) 856-0104

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12826/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rosa.rincon.p1@direct.emkchc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/483/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1306168315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052730",
            "telephone_number": "508-756-2020",
            "fax_number": "508-756-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052730",
            "telephone_number": "508-756-2020",
            "fax_number": "508-756-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINCON - RIVERO",
        "first_name": "ROSA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "243334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.