Active NPI
Alfredo A. Rivera, M.D.
- Anesthesiology Physician
- St. Thomas, VA
National Provider Identifier
1386790707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- VI-1296
- Practice address
- #9048 Sugar Estate
Schneider Regional Medical Center-Roy L. Schneider Hosp
St. Thomas, VA 00802 - Phone
- (340) 776-8311
- NPI assigned
- Jan 26, 2007
- Last updated
- Feb 15, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | VI-1296 | VI | Primary |
Addresses
Primary practice location
#9048 Sugar Estate
Schneider Regional Medical Center-Roy L. Schneider Hosp
St. Thomas, VA 00802
Mailing address
225 S Executive Dr
Brookfield, WI 53005-4257
Phone (262) 787-4026
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00600222 | Other | RAIL ROAD MEDICARE | |
| AR1655046 | Other | VI | ANESTHESIOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VI-1296 | VI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VI Anesthesia Group | Past | Accepting new patients | |
| KR Anesthesiology Services LLC | Anesthesiology | Past | Accepting new patients |
| Endourological Institute Inc | Past | Accepting new patients |
Interoperability endpoints
- sjcariver@yourcarecommunity.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Schneider Regional Medical Center
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
-
dba Centro Cirugia Ambulatorio Procedimientos Urologicos
- Ambulatory Surgical Clinic/Center
- San Juan, PR
- NPI 1871609610
-
- Anesthesiology Physician
- Moca, PR
- NPI 1255712584
-
- Specialist
- St Thomas, VI
- NPI 1255453023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234656000000",
"number": "1386790707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S EXECUTIVE DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054257",
"telephone_number": "262-787-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#9048 SUGAR ESTATE",
"address_2": "SCHNEIDER REGIONAL MEDICAL CENTER-ROY L. SCHNEIDER HOSP",
"city": "ST. THOMAS",
"state": "VA",
"postal_code": "00802",
"telephone_number": "340-776-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ALFREDO",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2009-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VI",
"license": "VI-1296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00600222",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANESTHESIOLOGIST",
"identifier": "AR1655046",
"state": "VI"
}
],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2009; 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.