NPIMap

Individual provider Active NPI

Antonio R. Rivera, M.D.

  • Internal Medicine Physician
  • Falls Church, VA
National Provider Identifier
1649212978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101230403 Issued in VA
Practice address
6319 Castle PL
Ste 1 E
Falls Church, VA 22044-1907
Phone
(703) 532-1222
Fax
(703) 532-5100
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101230403 VA Primary
Internal Medicine Physician 207R00000X D0055635 MD
Internal Medicine Physician 207R00000X MD31691 DC

Addresses

Primary practice location

6319 Castle PL
Ste 1 E
Falls Church, VA 22044-1907

Mailing address

1126 Ormond CT
MC Lean, VA 22101-2960
Phone (703) 532-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040710000140 DC Practitioner - Internal MedicinePractitioner - Nephrology 6002893179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6319 Castle PL
Suite 1E
Falls Church, VA 22044-1907
Phone (703) 532-1222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.53 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31691DCMDInternal Medicine Physician
D0055635MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Rivera Medical Services LLC Internal Medicine CurrentSince May 1, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6319 Castle Pl
Ste 1E
Falls Church, VA 22044
Phone (703) 532-1222

200 Little Falls St
Ste 407
Falls Church, VA 22046
Phone (703) 532-1222

Organizations & group practices 2

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 6

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649212978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 ORMOND CT",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221012960",
            "telephone_number": "703-532-1222",
            "fax_number": "703-532-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 CASTLE PL",
            "address_2": "STE 1 E",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441907",
            "telephone_number": "703-532-1222",
            "fax_number": "703-532-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANTONIO",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230403",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0055635",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD31691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.