Individual provider Active NPI

Alfredo A. Rivera, M.D.

  • Anesthesiology Physician
  • St. Thomas, VA
National Provider Identifier
1386790707
Registry record updated Feb 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
VI-1296 Issued in VI
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00600222OtherRAIL ROAD MEDICARE
AR1655046OtherVIANESTHESIOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050302000021 PR Practitioner - Anesthesiology 4688627615 Practice locations: San Juan, PR
I20050302000027 VI Practitioner - Anesthesiology 4688627615 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VI-1296VIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VI Anesthesia Group PastSince Jul 11, 2001 Accepting new patients
KR Anesthesiology Services LLC Anesthesiology Past Accepting new patients
Endourological Institute Inc PastSince Aug 7, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.