Individual provider Active NPI

Arnold DC Rivera, M.D.

  • Urology Physician
  • Derby, CT
National Provider Identifier
1477583045
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
043098 Issued in CT
Practice address
111 New Haven Ave
Unit 5
Derby, CT 06418-2197
Phone
(203) 736-4816
Fax
(203) 732-7956
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 043098 CT Primary

Addresses

Primary practice location

111 New Haven Ave
Unit 5
Derby, CT 06418-2197

Mailing address

111 New Haven Ave
Unit 5
Derby, CT 06418-2197
Phone (203) 736-4816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050502000829 CT Practitioner - Urology 9739170564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
George Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bristol Hospital Multi Specialty Group, Inc.Group PAC ID 9032014758, 148 clinicians

Practice addresses (Care Compare)

111 New Haven Ave
Suite 5
Derby, CT 06418-2197
Phone (203) 736-4816

41 Brewster Rd
Bristol, CT 06010-5161
Phone (860) 585-3000

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Bristol Hospital Hospital, Bristol, CT, CCN 070029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
043098CTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Sep 1, 2024 Accepting new patients
Weill Medical College of Cornell Urology Past Accepting new patients

Locations

15 Riverside Ave
Bristol, CT 06010
Phone (860) 516-7593

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

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 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1477583045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAVEN AVE",
            "address_2": "UNIT 5",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182197",
            "telephone_number": "203-736-4816",
            "fax_number": "203-732-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NEW HAVEN AVE",
            "address_2": "UNIT 5",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182197",
            "telephone_number": "203-736-4816",
            "fax_number": "203-732-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ARNOLD",
        "middle_name": "DC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CT",
            "license": "043098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.