Individual provider Active NPI

Ralph Riviello, M.D.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1659396596
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD059937L Issued in PA
Practice address
245 N 15TH St
Ms 1011
Philadelphia, PA 19102-1101
Phone
(215) 762-2574
Fax
(215) 762-1807
NPI assigned
Jul 13, 2006
Last updated
May 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD059937L PA Primary

Addresses

Primary practice location

245 N 15TH St
Ms 1011
Philadelphia, PA 19102-1101

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1320
Phone (215) 255-7822

Other identifiers 2

IdentifierTypeStateIssuer
001578702MedicaidPA
8811105MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041202000351 PA Practitioner - Emergency Medicine 8325004203 Reassigns benefits to 4 organizations
I20191122000387 TX Practitioner - Emergency Medicine 8325004203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Hahneman Medical College of the Pacific, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD059937LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Roxborough Medical of Andorra LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jan 28, 2018 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2019 Accepting new patients
Prospect Health Access Network, Inc. Emergency Medicine Current Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Drexel University Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jan 28, 2018 Accepting new patients
New Jersey Neck & Back Institute PC Past Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

219 N Broad St
Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688

230 N Broad St
Philadelphia, PA 19102
Phone (215) 255-3828

245 N 15th St
#1011
Philadelphia, PA 19102
Phone (215) 762-2574

3601 A St
Philadelphia, PA 19134
Phone (215) 427-5202

701 E Cathedral Rd
Ste 11
Philadelphia, PA 19128
Phone (267) 766-6321

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Interoperability endpoints

  • Direct secure messaging: rriviello31670@direct.utmsa.com

Organizations & group practices 13

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.

View all 13

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1659396596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021320",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "address_2": "MS 1011",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-2574",
            "fax_number": "215-762-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVIELLO",
        "first_name": "RALPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD059937L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001578702",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8811105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.