Active NPI
Emilio T. Rivera, MD
- Family Medicine Physician
- Santa Teresa, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 89-285
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050051043 | Other | RR MEDICARE | |
| 30858 | Medicaid | NM | |
| NM011595 | Other | NM | BCBS NM |
| NM009D02 | Other | NM | BCBS OF NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- El Paso Therapy Services, Inc.
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
- Memorial Medical Center
- Sierra Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 89-285 | NM | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors of Santa Teresa PC | Family Medicine | Current | Accepting new patients |
| Main Street Anesthesia of New Mexico, LLC | Anesthesiology | Current | Accepting new patients |
| Las Cruces HB Medical Services LLC | Current | 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.
-
- Family Medicine Physician
- Santa Teresa, NM
- NPI 1639121692
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Physical Therapist
- El Paso, TX
- NPI 1821619115
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1174551121
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1700821808
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1215969787
-
- Rehabilitation Hospital Unit
- El Paso, TX
- NPI 1780927277
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.