Individual provider Active NPI

Fernando Rivabem, M.D.

  • Specialist
  • Sebring, FL
National Provider Identifier
1386687630
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME79774 Issued in FL
Practice address
3600 South Highlands Ave.
Sebring, FL 33870
Phone
(863) 385-6101
Fax
(954) 545-3497
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME79774 FL Primary

Addresses

Primary practice location

3600 South Highlands Ave.
Sebring, FL 33870

Mailing address

15020 Old Cutler Road
Miami, FL 33158-2116
Phone (305) 978-9461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040724000231 FL Practitioner - Anesthesiology 3870573298

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Anesthesia Group One PLLCGroup PAC ID 1052653276, 22 clinicians

Practice addresses (Care Compare)

1100 NW 95 St
Miami, FL 33150-2038
Phone 50391429091056

Hospital & facility affiliations

  • North Shore Medical Center Hospital, Miami, FL, CCN 100029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79774FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Anesthesia LLC PastSince Jul 21, 2018 Accepting new patients
Sunshine Pain Management Medical Center, LLC PastSince Jan 1, 2025 Accepting new patients
Mercy Anesthesia Group, LLC Specialist Past Accepting new patients
Northwest Anesthesiologist Group PA Past Accepting new patients
Consultant Anesthetic Services PA Past Accepting new patients

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 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386687630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15020 OLD CUTLER ROAD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331582116",
            "telephone_number": "305-978-9461",
            "fax_number": "305-273-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SOUTH HIGHLANDS AVE.",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "33870",
            "telephone_number": "863-385-6101",
            "fax_number": "954-545-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVABEM",
        "first_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME79774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.