NPIMap

Individual provider Active NPI

Matthew Thomas Rivera, MD

  • Family Medicine Physician
  • Dunkirk, NY
National Provider Identifier
1598256190
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
310349 Issued in NY
Practice address
75 E 3Rd St
Dunkirk, NY 14048-2239
Phone
(716) 363-6050
Fax
(833) 974-1992
NPI assigned
May 21, 2018
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 310349 NY Primary

Addresses

Primary practice location

75 E 3Rd St
Dunkirk, NY 14048-2239

Mailing address

75 E 3Rd St
Dunkirk, NY 14048-2239
Phone (716) 363-6050

Other practice location 1

8115 Glasgow Rd
Cassadaga, NY 14718-9619
Phone (716) 595-4235

Other names 1

  • Matthew T. Rivera-Bloodworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210901001904 NY Practitioner - Family Practice 4183977143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Chautauqua Center IncGroup PAC ID 7214178326, 35 clinicians

Practice addresses (Care Compare)

75 E 3Rd St
Dunkirk, NY 14048-2239
Phone (716) 363-6050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310349NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Chautauqua Center, Inc CurrentSince May 29, 2023 Accepting new patients
Jericho Road Ministries, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Jericho Road Ministries Inc. CurrentSince Nov 1, 2024 Accepting new patients
Kaleida Health Past Accepting new patients
Chautauqua PT OT & SLP Professionals PLLC Past Accepting new patients

Locations

184 Barton St
Buffalo, NY 14213
Phone (716) 348-3000

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

Interoperability endpoints

  • Direct secure messaging: matthew.rivera.1@22211.direct.athenahealth.com
  • Direct secure messaging: matthew.rivera@jrchc.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1598256190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E 3RD ST",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482239",
            "telephone_number": "716-363-6050",
            "fax_number": "833-974-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E 3RD ST",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482239",
            "telephone_number": "716-363-6050",
            "fax_number": "833-974-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8115 Glasgow Rd",
            "address_purpose": "LOCATION",
            "city": "Cassadaga",
            "state": "NY",
            "postal_code": "147189619",
            "country_code": "US",
            "telephone_number": "716-595-4235",
            "fax_number": "716-595-4383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "310349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "RIVERA-BLOODWORTH",
            "middle_name": "T.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dunkirk, NY

Sources for this page

Verify at the official NPI Registry.