Individual provider Active NPI

Karla Patricia Madrid Rivas, M.D.

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1447601257
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
59680 Issued in TN
Practice address
1300 E 23Rd St
Chattanooga, TN 37404-5701
Phone
(423) 760-4000
Fax
(423) 760-4000
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 91245 SC
Family Medicine Physician 207Q00000X 59680 TN Primary

Addresses

Primary practice location

1300 E 23Rd St
Chattanooga, TN 37404-5701

Mailing address

410 Avenida Hostos
Mayaguez Medical Center
Mayaguez, PR 00680
Phone (787) 652-9200

Other practice location 1

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC2 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
I20200204001249 TN Practitioner - Family Practice 4981030327 Reassigns benefits to 1 organization
I20240401000586 SC Practitioner - Family Practice 4981030327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians
Self Regional Healthcare PartnersGroup PAC ID 1557606118, 36 clinicians

Practice addresses (Care Compare)

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

155 Ridge Medical Plaza Rd
Edgefield, SC 29824-4531
Phone (803) 637-3146

Hospital & facility affiliations

  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare CurrentSince May 1, 2024 Accepting new patients
Self Regional Healthcare Family Medicine CurrentSince May 1, 2024 Accepting new patients
Self Regional Healthcare Partners Family Medicine CurrentSince May 1, 2024 Accepting new patients
OB Medicos, PLLC CurrentSince Nov 16, 2019 Accepting new patients
Self Regional Healthcare Partners CurrentSince May 1, 2024 Accepting new patients
Self Regional Healthcare Partners Family Medicine Current Accepting new patients
Self Regional Healthcare Family Medicine Past Accepting new patients
Self Regional Healthcare Past Accepting new patients
Clinica Sonrisas LLC PastSince Oct 22, 2023 Accepting new patients

Locations

155 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3146

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

104 Wells Ave
Greenwood, SC 29646

1300 E 23rd St
Chattanooga, TN 37404
Phone (423) 760-4000

1148 E 23rd St
Chattanooga, TN 37408
Phone (423) 760-4000

Interoperability endpoints

  • Direct secure messaging: kmadridrivas542118@selfregional.direct-ci.net

Organizations & group practices 9

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 4

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1447601257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AVENIDA HOSTOS",
            "address_2": "MAYAGUEZ MEDICAL CENTER",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-652-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 23RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374045701",
            "telephone_number": "423-760-4000",
            "fax_number": "423-760-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463869",
            "country_code": "US",
            "telephone_number": "864-725-4865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRID RIVAS",
        "first_name": "KARLA",
        "middle_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "91245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "59680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.