Individual provider Active NPI

Robert Rivera, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1386818409
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
81038 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-3430
Fax
(602) 406-2340
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD61297110 WA
Diagnostic Radiology Physician 2085R0202X 81038 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

625 N 6th St
Phoenix, AZ 85004-2155
Phone (602) 406-8222

Other practice location 2

4975 N Dysart Rd Unit 100
Litchfield Park, AZ 85340-3082
Phone (602) 406-8852

Other practice location 3

7330 N 99th Ave Ste 200
Glendale, AZ 85307-3018
Phone (602) 406-0033

Other practice location 4

17040 N 51st Ave Ste 100
Glendale, AZ 85308-1496
Phone (602) 406-1164

Other identifiers 1

IdentifierTypeStateIssuer
81038OtherAZTRAINING PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 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
I20161220000760 AZ Practitioner - Diagnostic Radiology 5799963690 Reassigns benefits to 1 organization
I20221109003288 WA Practitioner - Diagnostic Radiology 5799963690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
St. Louis College of Physicians and Surgeons, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians

Practice addresses (Care Compare)

13316 125TH Ave NE
Kirkland, WA 98034-5415
Phone (602) 406-3430

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81038AZMDDiagnostic Radiology Physician
MD61297110WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Pathology Current Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Jan 9, 2017 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Nebraska Health Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients

Locations

7330 N 99th Ave
Ste 200
Glendale, AZ 85307
Phone (602) 406-0033

17040 N 51st Ave
Ste 100
Glendale, AZ 85308
Phone (602) 406-1164

4975 N Dysart Rd
Unit 100
Litchfield Pk, AZ 85340
Phone (602) 406-8700

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3030 N Central Ave
Ste 1001
Phoenix, AZ 85012

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

625 N 6th St
Phoenix, AZ 85004
Phone (602) 406-8222

6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

File 56765
Los Angeles, CA 90074

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 9

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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1386818409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-3430",
            "fax_number": "602-406-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850042155",
            "country_code": "US",
            "telephone_number": "602-406-8222",
            "fax_number": "602-406-7811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4975 N Dysart Rd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853403082",
            "country_code": "US",
            "telephone_number": "602-406-8852",
            "fax_number": "623-935-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 N 99th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853073018",
            "country_code": "US",
            "telephone_number": "602-406-0033",
            "fax_number": "602-406-0035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17040 N 51st Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081496",
            "country_code": "US",
            "telephone_number": "602-406-1164",
            "fax_number": "623-935-9495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61297110",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "81038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "81038",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.