Individual provider Active NPI

Emilio T. Rivera, MD

  • Family Medicine Physician
  • Santa Teresa, NM
National Provider Identifier
1366410276
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
89-285 Issued in NM
Practice address
5290 McNutt Rd
Ste 109
Santa Teresa, NM 88008
Phone
(575) 589-1144
Fax
(575) 589-2008
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 89-285 NM
Family Medicine Physician 207Q00000X 89-285 NM Primary

Addresses

Primary practice location

5290 McNutt Rd
Ste 109
Santa Teresa, NM 88008

Mailing address

PO Box 1590
Santa Teresa, NM 88008-1590
Phone (575) 589-1144

Other practice location 1

205 W Boutz Rd Bldg 1
Las Cruces, NM 88005-3259
Phone (575) 532-7033

Other identifiers 4

IdentifierTypeStateIssuer
050051043OtherRR MEDICARE
30858MedicaidNM
NM011595OtherNMBCBS NM
NM009D02OtherNMBCBS OF NM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031124000725 NM Practitioner - Family PracticePractitioner - Anesthesiology 1951205665 Reassigns benefits to 1 organization
I20181116002386 NM Practitioner - Anesthesiology 1951205665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians
Doctors of Santa Teresa PCGroup PAC ID 6305740002, 2 clinicians
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455

5290 McNutt Rd
Santa Teresa, NM 88008-2001
Phone (575) 589-1144

6151 Dew Dr
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018
  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
83.71
Improvement activities
40
Cost
76.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89-285NMMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Santa Teresa PC Family Medicine CurrentSince Mar 1, 2003 Accepting new patients
Main Street Anesthesia of New Mexico, LLC Anesthesiology CurrentSince Dec 15, 2019 Accepting new patients
Las Cruces HB Medical Services LLC CurrentSince Jan 1, 2025 Accepting new patients
New Mexico Quickcare LLC Family Medicine Past Accepting new patients

Locations

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1205 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 260-4300

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

5290 McNutt Rd
Unit 1590
Santa Teresa, NM 88008
Phone (575) 589-1144

5290 McNutt Rd
Ste 109
Santa Teresa, NM 88008
Phone (575) 589-1144

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.

Hospital & facility affiliations 4

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1366410276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1590",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880081590",
            "telephone_number": "575-589-1144",
            "fax_number": "575-589-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MCNUTT RD",
            "address_2": "STE 109",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "88008",
            "telephone_number": "575-589-1144",
            "fax_number": "575-589-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Boutz Rd Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880053259",
            "country_code": "US",
            "telephone_number": "575-532-7033",
            "fax_number": "575-556-7139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EMILIO",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "89-285",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "89-285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050051043",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30858",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM011595",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM009D02",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

Sources for this page

Verify at the official NPI Registry.