Active NPI
Alison Saulog Rivera, MD
- Pediatrics Physician
- Sugar Land, TX
National Provider Identifier
1366709586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-19593
- Practice address
- 15551 Southwest Fwy
Sugar Land, TX 77478-3830 - Phone
- (281) 325-1010
- NPI assigned
- Apr 12, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.207464 | LA | |
| Pediatrics Physician | 208000000X | Q4835 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD-19593 | HI | Primary |
Addresses
Primary practice location
15551 Southwest Fwy
Sugar Land, TX 77478-3830
Mailing address
406 Detering St
Houston, TX 77007-7127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-19593 | HI | MD | Pediatrics Physician |
| MD.207464 | LA | MD | Pediatrics Physician |
| Q4835 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinic of Maui Inc | Current | Accepting new patients | |
| Community Clinic of Maui, Inc. | Current | Accepting new patients | |
| Community Clinic of Maui, Inc. | Current | Accepting new patients | |
| Community Clinic of Maui, Inc. | Past | Accepting new patients |
Locations
250 E Lipoa St
Kihei, HI 96753
Phone (808) 871-7772
1881 Nani St
Wailuku, HI 96793
Phone (808) 871-7772
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.
-
- Community Health Clinic/Center
- Wailuku, HI
- NPI 1528042561
-
- Community Health Clinic/Center
- Lahaina, HI
- NPI 1053564526
-
- Federally Qualified Health Center (FQHC)
- Kahului, HI
- NPI 1467346916
-
- Community Health Clinic/Center
- Lahaina, HI
- NPI 1619721263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1366709586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 DETERING ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770077127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15551 SOUTHWEST FWY",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783830",
"telephone_number": "281-325-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ALISON",
"middle_name": "SAULOG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD.207464",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q4835",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD-19593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.