Active NPI
Rafael Jose Rolon Rivera, MD
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01079857A
- Practice address
- 1701 Senate Blvd
Indianapolis, IN 46202-1239 - Phone
- (317) 962-8776
- NPI assigned
- Jun 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18717 | PR | |
| Internal Medicine Physician | 207R00000X | 49217 | AZ | |
| Internal Medicine Physician | 207R00000X | 54192 | TN | |
| Hospitalist Physician | 208M00000X | 49127 | AZ | |
| Hospitalist Physician | 208M00000X | ME130170 | FL | |
| Internal Medicine Physician | 207R00000X | 01079857A | IN | Primary |
Addresses
Primary practice location
1701 Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
6644 E Baywood Ave
Banner Baywood Medical Center
Mesa, AZ 85206
Phone (480) 321-3900
Other practice location 2
13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 798-3300
Other practice location 3
86 W Underwood St
Orlando, FL 32806-1110
Phone (888) 912-3648
Other practice location 4
1000 4th St SW
Mason City, IA 50401-2800
Phone (641) 428-7000
Other practice location 5
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020020500 | Medicaid | FL | |
| 068010839 | Other | IN | MEDICARE PTAN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RROLONRIV@IUHEALTH.ORG | ||
| Direct Messaging Address | mc.mmcmc.him@direct.2.mycarefile.org | Direct | MercyOne North Iowa Medical Center |
| Direct Messaging Address | rrolonrivera@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49127 | AZ | MD | Internal Medicine Physician |
| 49217 | AZ | MD | Internal Medicine Physician |
| 01079857A | IN | MD | Internal Medicine Physician |
| 18717 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Family Medicine | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Family Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Sound Physicians of Florida IV, LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of FL, LLC | Hospitalist | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Family Medicine | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Rolon Medical PLLC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Florida IV, LLC | Family Medicine | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Family Medicine | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
3100 E Fletcher Ave
#C
Tampa, FL 33613
7216 Solutions Ctr
Chicago, IL 60677
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- rrolonriv@iuhealth.org
- rrolonrivera@direct.iuhealth.org
Organizations & group practices 13
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Family Medicine
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Family Medicine
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Family Medicine
-
- Internal Medicine Physician
- Palm Coast, FL
- NPI 1740633635
Family Medicine
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1629570262
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1316233661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SENATE BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021239",
"telephone_number": "317-962-8776"
}
],
"practiceLocations": [
{
"address_1": "6644 E Baywood Ave",
"address_2": "Banner Baywood Medical Center",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "85206",
"country_code": "US",
"telephone_number": "480-321-3900",
"fax_number": "480-321-3840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13001 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Loxahatchee",
"state": "FL",
"postal_code": "334709203",
"country_code": "US",
"telephone_number": "561-798-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "86 W Underwood St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "888-912-3648",
"fax_number": "321-841-4085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 4th St SW",
"address_purpose": "LOCATION",
"city": "Mason City",
"state": "IA",
"postal_code": "504012800",
"country_code": "US",
"telephone_number": "641-428-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2651 E Discovery Pkwy",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474089059",
"country_code": "US",
"telephone_number": "812-353-9515",
"fax_number": "812-353-9275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLON RIVERA",
"first_name": "RAFAEL",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-24",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "18717",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "49217",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "54192",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "49127",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME130170",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01079857A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020020500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "068010839",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RROLONRIV@IUHEALTH.ORG",
"affiliation": "N",
"address_1": "1701 N Senate Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025306",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mc.mmcmc.him@direct.2.mycarefile.org",
"affiliation": "Y",
"endpointDescription": "MercyOne North Iowa Direct Email Address",
"affiliationName": "MercyOne North Iowa Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1000 4th St SW",
"city": "Mason City",
"state": "IA",
"country_code": "US",
"postal_code": "504012800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rrolonrivera@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2651 E Discovery Pkwy",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474089059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.