NPIMap

Individual provider Active NPI

Mariela Agosto-Rivera

  • Internal Medicine Physician
  • Abilene, TX
National Provider Identifier
1578876736
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P6561 Issued in TX
Practice address
1749 Pine St
Abilene, TX 79601-3043
Phone
(325) 670-6290
Fax
(325) 670-6289
NPI assigned
Jul 16, 2010
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X P6561 TX Primary

Addresses

Primary practice location

1749 Pine St
Abilene, TX 79601-3043

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000305 TX Practitioner - Internal Medicine 1658514211 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Emergency Physicians PAGroup PAC ID 1153414503, 79 clinicians
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

1904 Pine St
Abilene, TX 79601-2450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
56.04 of 100Reported as individual
Quality
28.33
Improvement activities
40
Cost
57.01

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P6561TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 26, 2020 Accepting new patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Hendrick Provider Network CurrentSince Aug 1, 2013 Accepting new patients
Hendrick Provider Network Internal Medicine CurrentSince Aug 1, 2013 Accepting new patients
Lubbock County Hospital District CurrentSince Nov 6, 2024 Accepting new patients
Hendrick Medical Center CurrentSince Oct 1, 2014 Accepting new patients
Hendrick Medical Center Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients

Locations

1749 Pine St
Abilene, TX 79601
Phone (325) 672-4372

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1900 Pine St
Fl 7
Abilene, TX 79601
Phone (325) 670-6251

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Organizations & group practices 8

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.

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1578876736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4220",
            "fax_number": "325-670-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013043",
            "telephone_number": "325-670-6290",
            "fax_number": "325-670-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTO-RIVERA",
        "first_name": "MARIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P6561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.