Individual provider Active NPI

Darla K Rivera, D.O.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1336149137
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-22566 Issued in KS
Practice address
7111 E 21St Street N
Suite a
Wichita, KS 67206
Phone
(316) 684-2851
Fax
(316) 686-7338
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-22566 KS Primary

Addresses

Primary practice location

7111 E 21St Street N
Suite a
Wichita, KS 67206

Mailing address

7111 E 21St Street N
Suite a
Wichita, KS 67206
Phone (316) 684-2851

Other identifiers 6

IdentifierTypeStateIssuer
101599OtherKSBLUE CROSS INDIVIDUAL
100231360BOtherKSMEDICAID INDIVIDUAL
100416440AMedicaidKS
80186349OtherKSRAILROAD MEDICARE
622091OtherKSFIRSTGUARD
110718OtherKSBLUE CROSS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050503000396 KS Practitioner - Family Practice 0941249585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

1755 E 61St St N
NMC Health Family Medicine Park City
Park City, KS 67219-1917
Phone (316) 440-4466

Hospital & facility affiliations

  • Phoenix Home Care Home health agency, Wichita, KS, CCN 178012
  • Wesley Healthcare at Home Home health agency, Salina, KS, CCN 177187
  • Faith Home Health Home health agency, Wichita, KS, CCN 178112
  • NMC Health Hospital, Newton, KS, CCN 170103
  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates, LLC Family Medicine CurrentSince Jan 1, 2002 Accepting new patients
Newton Healthcare Corporation CurrentSince Nov 1, 2022 Accepting new patients
Newton Healthcare Corporation Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Line Medical Inc Past Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

1755 E 61st St N
Park City, KS 67219
Phone (316) 440-4466

7111 E 21st St N
Ste A
Wichita, KS 67206
Phone (316) 684-2851

Interoperability endpoints

  • Direct secure messaging: darla.rivera@khindirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1336149137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 E 21ST STREET N",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-684-2851",
            "fax_number": "316-686-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E 21ST STREET N",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-684-2851",
            "fax_number": "316-686-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DARLA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-22566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL",
            "identifier": "101599",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL",
            "identifier": "100231360B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100416440A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "80186349",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "622091",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "110718",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.