Individual provider Active NPI

Jorge Nelson Rivero Becerra, M.D.

  • Interventional Pain Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1396780409
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD441214 Issued in PA
Practice address
363 Vanadium Rd
Suite 106
Pittsburgh, PA 15243-1497
Phone
(412) 279-1231
Fax
(412) 276-0935
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 234995 NY
Internal Medicine Physician 207R00000X 234995 NY
Interventional Pain Medicine Physician 208VP0014X MD441214 PA Primary

Addresses

Primary practice location

363 Vanadium Rd
Suite 106
Pittsburgh, PA 15243-1497

Mailing address

363 Vanadium Rd
Suite 106
Pittsburgh, PA 15243-1497
Phone (412) 279-1231

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VitalPainCenter.JorgeRiveroBecerra@132389.advancedmd-direct.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120911000242 PA Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - Internal MedicinePractitioner - Addiction Medicine 6406859958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Addiction Medicine, Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

363 Vanadium Rd
Suite 106
Pittsburgh, PA 15243-1477
Phone (412) 279-1231

Hospital & facility affiliations

  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Pain Center, LLC Interventional Pain Medicine CurrentSince Nov 27, 2015 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Past Accepting new patients
Stat Anesthesia Specialists PastSince Feb 28, 2016 Accepting new patients

Locations

363 Vanadium Rd
Ste 106
Pittsburgh, PA 15243
Phone (412) 279-1231

Interoperability endpoints

  • Direct secure messaging: vitalpaincenter.jorgeriverobecerra@132389.advancedmd-direct.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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 1

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1396780409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 VANADIUM RD",
            "address_2": "SUITE 106",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431497",
            "telephone_number": "412-279-1231",
            "fax_number": "412-276-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 VANADIUM RD",
            "address_2": "SUITE 106",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431497",
            "telephone_number": "412-279-1231",
            "fax_number": "412-276-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO BECERRA",
        "first_name": "JORGE",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "234995",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234995",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD441214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VitalPainCenter.JorgeRiveroBecerra@132389.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "363 Vanadium Rd",
            "address_2": "Suite 106",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.