Individual provider Active NPI

Abraham Rivera, MD

  • Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1407875065
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
G162881 Issued in CA
Practice address
4730 N Habana Ave Ste 104
Tampa, FL 33614-7165
Phone
(813) 549-2134
NPI assigned
Jul 18, 2006
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G162881 CA
Anesthesiology Physician 207L00000X ME93446 FL
Pain Medicine Physician 208VP0000X ME93446 FL
Pain Medicine Physician 208VP0000X G162881 CA Primary

Addresses

Primary practice location

4730 N Habana Ave Ste 104
Tampa, FL 33614-7165

Mailing address

501 N Reo St Ste 100
Tampa, FL 33609-1012
Phone (813) 549-2134

Other practice location 1

295 Imperial Hwy Ste 100
Fullerton, CA 92835-1020
Phone (813) 549-2134

Other identifiers 2

IdentifierTypeStateIssuer
P01099802OtherFLR&R MEDICARE
274485600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050917000014 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 6608761069 Reassigns benefits to 4 organizations
I20170907000102 TX Practitioner - Pain Management 6608761069 Reassigns benefits to 2 organizations
I20200122002598 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 6608761069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Puerto Rico School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medhat F Mikhael MD IncGroup PAC ID 7315958188, 11 clinicians
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

295 Imperial Hwy
Suite 100
Fullerton, CA 92835-1020
Phone (714) 770-8400

3450 E Fletcher Ave
Suite 350
Tampa, FL 33613-4699
Phone (813) 739-7493

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G162881CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group PLLC CurrentSince Aug 2, 2017 Accepting new patients
Medhat F. Mikhael, M.D., Inc Pain Medicine CurrentSince Mar 15, 2023 Accepting new patients
Florida Pain Relief Group PLLC Anesthesiology CurrentSince Aug 1, 2016 Accepting new patients
Texas Pain Relief Group, PLLC CurrentSince Aug 2, 2017 Accepting new patients
Florida Medical Clinic, LLC CurrentSince May 1, 2012 Accepting new patients
Florida Medical Clinic LLC CurrentSince May 1, 2012 Accepting new patients
Charles K Friedman DO PA CurrentSince Sep 19, 2018 Accepting new patients
Physician Partners of America Crna Operations LLC Anesthesiology CurrentSince Jun 17, 2025 Accepting new patients
Albany Med Health System Past Accepting new patients
Samaritan Hospital of Troy, New York Past Accepting new patients
University Community Hospital, Inc Past Accepting new patients
Baycare Anesthesia Associates LLC Anesthesiology Past Accepting new patients
Anesthesia Simplified LLC Past Accepting new patients
Texas Pain Relief Group PLLC Past Accepting new patients
Florida Hospital Zephyrhills Inc Past Accepting new patients
University Community Hospital, Inc Past Accepting new patients
Lakewood Ranch Medical Center Past Accepting new patients
Psychological Advances in Coping Education Inc Past Accepting new patients

Locations

18035 Brookhurst St
Ste 1200
Fountain Vly, CA 92708
Phone (714) 963-7240

295 Imperial Hwy
Ste 100
Fullerton, CA 92835
Phone (714) 770-8300

16787 Beach Blvd
Huntington Beach, CA 92647
Phone (657) 204-6014

24411 Health Center Dr
Ste 610
Laguna Hills, CA 92653
Phone (714) 963-7240

3620 Atlantic Ave
Long Beach, CA 90807
Phone (562) 595-0060

1950 E 17th St
Ste 200
Santa Ana, CA 92705
Phone (714) 495-4050

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

1320 S Belcher Rd
Clearwater, FL 33764
Phone (727) 518-8660

11705 San Jose Blvd
Ste 110
Jacksonville, FL 32223
Phone (904) 292-2700

1731 Wells Rd
Ste 100
Orange Park, FL 32073
Phone (407) 355-3120

5767 49th St N
St Petersburg, FL 33709
Phone (727) 350-0450

14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone (800) 242-5080

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4726 N Habana Ave
Ste 100
Tampa, FL 33614
Phone 81354921341109

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

4730 N Habana Ave
Ste 204
Tampa, FL 33614

4730 N Habana Ave
Ste 300
Tampa, FL 33614
Phone (813) 352-9465

501 N Reo St
Ste 100
Tampa, FL 33609

504 N Reo St
Tampa, FL 33609
Phone (813) 319-0911

7518 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (813) 426-8263

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

1717 Precinct Line Rd
Ste 101
Hurst, TX 76054
Phone (817) 369-3995

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

5055 W Park Blvd
Ste 800
Plano, TX 75093
Phone (214) 299-7010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abraham.rivera@ppoa.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/25209/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et1299.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1407875065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N REO ST STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091012",
            "telephone_number": "813-549-2134",
            "fax_number": "813-864-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147165",
            "telephone_number": "813-549-2134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 Imperial Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928351020",
            "country_code": "US",
            "telephone_number": "813-549-2134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G162881",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME93446",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME93446",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G162881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R&R MEDICARE",
            "identifier": "P01099802",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274485600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.