Active NPI
Janice Rivera
- Neurology Physician
- Ocoee, FL
National Provider Identifier
1326604752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME163953
- Practice address
- 10000 W Colonial Dr Ste 284
Ocoee, FL 34761-3432 - Phone
- (407) 296-1910
- Fax
- (407) 296-1909
- NPI assigned
- May 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | ME163953 | FL | Primary |
Addresses
Primary practice location
10000 W Colonial Dr Ste 284
Ocoee, FL 34761-3432
Mailing address
10000 W Colonial Dr Ste 284
Ocoee, FL 34761-3432
Phone (407) 296-1910
Other practice location 1
10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone (915) 595-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121865100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
10000 W Colonial Dr
Suite 282
Ocoee, FL 34761-3432
Phone (321) 841-6444
1200 Lexington Green LN
Sanford, FL 32771-1013
Hospital & facility affiliations
- Orlando Health
- Orlando Health-Health Central Hospital
- Orlando Health South Lake Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME163953 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
10000 W Colonial Dr
Ste 284
Ocoee, FL 34761
Phone (321) 841-1570
10000 W Colonial Dr
Ste 282
Ocoee, FL 34761
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1326604752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 W COLONIAL DR STE 284",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613432",
"telephone_number": "407-296-1910",
"fax_number": "407-296-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W COLONIAL DR STE 284",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613432",
"telephone_number": "407-296-1910",
"fax_number": "407-296-1909"
}
],
"practiceLocations": [
{
"address_1": "10301 Gateway Blvd W",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799257701",
"country_code": "US",
"telephone_number": "915-595-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "JANICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME163953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121865100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.