Individual provider Active NPI

Juan Rivera, M.D.

  • Pulmonary Disease Physician
  • McAllen, TX
National Provider Identifier
1629023965
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
K0173 Issued in TX
Practice address
1200 E Savannah Ave Ste 16
McAllen, TX 78503-1728
Phone
(956) 631-3344
Fax
(956) 631-3881
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X K0173 TX Primary

Addresses

Primary practice location

1200 E Savannah Ave Ste 16
McAllen, TX 78503-1728

Mailing address

1200 E Savannah Ste 16
McAllen, TX 78503
Phone (956) 631-3344

Other identifiers 1

IdentifierTypeStateIssuer
096886904MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JRIVERA@VALLEYPULMONARYGROUP.AMAZING-DIRECT.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040326001158 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 1456243112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Pulmonary Group, PLLCGroup PAC ID 1153350095, 5 clinicians

Practice addresses (Care Compare)

1200 E Savannah
Suite 16
McAllen, TX 78503-1728
Phone (956) 631-3344

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Pulmonary Group, PLLC Pulmonary Disease CurrentSince Jan 1, 2005 Accepting new patients

Locations

896 Ridgewood St
Ste D
Brownsville, TX 78520
Phone (956) 443-0015

1200 E Savannah Ave
Ste 16
McAllen, TX 78503
Phone (956) 487-5621

1912 E Griffin Pkwy
Ste 16
Mission, TX 78572
Phone (956) 631-3344

1922 E Griffin Pkwy
Ste E
Mission, TX 78572
Phone (956) 519-8717

1912 E Griffin Pkwy
Mission, TX 78572
Phone (956) 519-8717

Interoperability endpoints

  • Direct secure messaging: jrivera@valleypulmonarygroup.amazing-direct.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mission Valley Nursing and Transitional CareMission, TX, CCN 676446 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1629023965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E SAVANNAH STE 16",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78503",
            "telephone_number": "956-631-3344",
            "fax_number": "956-631-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E SAVANNAH AVE STE 16",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031728",
            "telephone_number": "956-631-3344",
            "fax_number": "956-631-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K0173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096886904",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JRIVERA@VALLEYPULMONARYGROUP.AMAZING-DIRECT.COM",
            "affiliation": "N",
            "address_1": "1200 E SAVANNAH STE 16",
            "city": "MCALLEN",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.