Active NPI
Milagros Rivera, MD
- Family Medicine Physician
- Savannah, GA
National Provider Identifier
1366431660
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33755
- Practice address
- 102 Bryan Woods Road
Savannah, GA 31410 - Phone
- (912) 898-1122
- Fax
- (912) 898-9944
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33755 | KY | Primary |
Addresses
Primary practice location
102 Bryan Woods Road
Savannah, GA 31410
Mailing address
602 E 72ND St
Savannah, GA 31405-4913
Phone (912) 819-7878
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000327323 | Other | ANTHEM - NCMA | |
| 50003508 | Other | PASSPORT - NCMA | |
| 1200033 | Other | KY | CHA / NCMA |
| 4423779 | Other | KY | CIGNA / NCMA |
| 64337553 | Medicaid | KY | |
| P00136585 | Other | KY | RRMCR - NCMA |
| 040477 | Other | SIHO - NCMA | |
| 914812400 | Medicaid | FL | |
| 2444940000 | Other | PAD - NCMA | |
| 200482440 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33755 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scatena Chiropractic Inc | Family Medicine | Past | Accepting new patients |
| Advanced Healthcare Associates LLP | Past | Accepting new patients | |
| Candler Medical Group, Inc. - Islands | Family Medicine | Past | Accepting new patients |
| Living Well Ohio | Past | Accepting new patients | |
| Kentucky Osteo Relief Institute | Past | Accepting new patients |
Interoperability endpoints
- milagros.rivera@512703925977092.direct.elationemr.com
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
- Savannah, GA
- NPI 1811913486
-
- Geriatric Medicine (Internal Medicine) Physician
- Elwood, IN
- NPI 1841225091
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Lexington, KY
- NPI 1730483967
-
- Other Technician
- Lexington, KY
- NPI 1609206390
-
- Physical Medicine & Rehabilitation Physician
- Lexington, KY
- NPI 1548213416
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1366431660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 E 72ND ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314054913",
"telephone_number": "912-819-7878",
"fax_number": "912-819-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BRYAN WOODS ROAD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31410",
"telephone_number": "912-898-1122",
"fax_number": "912-898-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MILAGROS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "33755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NCMA",
"identifier": "000000327323",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT - NCMA",
"identifier": "50003508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA / NCMA",
"identifier": "1200033",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA / NCMA",
"identifier": "4423779",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64337553",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR - NCMA",
"identifier": "P00136585",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NCMA",
"identifier": "040477",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "914812400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAD - NCMA",
"identifier": "2444940000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200482440",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.