Individual provider Active NPI

Rey Jose Rivera, M.D.

  • Infectious Disease Physician
  • Springfield, OR
National Provider Identifier
1508098286
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME118210 Issued in FL
Practice address
1460 G St
Springfield, OR 97477-4112
Phone
(541) 726-4400
NPI assigned
Aug 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD190234 OR
Infectious Disease Physician 207RI0200X ME118210 FL Primary

Addresses

Primary practice location

1460 G St
Springfield, OR 97477-4112

Mailing address

1460 G St
Springfield, OR 97477-4112
Phone (541) 726-4400

Other identifiers 1

IdentifierTypeStateIssuer
013502400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20181108000891 OR Practitioner - Internal Medicine 0345564126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Sound Inpatient Physicians PLLCGroup PAC ID 5991618738, 424 clinicians
Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

1460 G St
Springfield, OR 97477-4112
Phone (541) 726-4400

3025 Ryan Dr SE
Salem, OR 97301-5057
Phone (503) 485-0350

Hospital & facility affiliations

  • McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020
  • Salem Hospital Hospital, Salem, OR, CCN 380051

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
75.94
Promoting interoperability
100
Improvement activities
40
Cost
83.56

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD190234ORMDSpecialist
ME118210FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Oncology Specialists, LLP CurrentSince Dec 27, 2021 Accepting new patients
Oregon Oncology Specialists, LLP CurrentSince Dec 27, 2021 Accepting new patients
McKenzie Physician Services LLC CurrentSince Sep 20, 2018 Accepting new patients
Oregon Oncology Specialists, LLP Infectious Disease CurrentSince Dec 27, 2021 Accepting new patients

Locations

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

2700 SE Stratus Ave
Ste A
McMinnville, OR 97128
Phone (503) 435-6590

875 Oak St SE
Ste 4030
Salem, OR 97301

3025 Ryan Dr SE
Salem, OR 97301
Phone (503) 485-0350

2720 Commercial St SE
Ste 201
Salem, OR 97302
Phone (503) 480-0485

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

960 N 16th St
Ste 108
Springfield, OR 97477
Phone (541) 726-4690

Interoperability endpoints

  • Direct secure messaging: riverarj@yourcarecommunity.org
  • Direct secure messaging: rey.rivera@hoos.ikm.direct-ci.com

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 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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508098286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774112",
            "telephone_number": "541-726-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774112",
            "telephone_number": "541-726-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "REY",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2023-03-07",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD190234",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME118210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013502400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.