Active NPI
Alexis Korostoff Rieber, MD
- Otolaryngology Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A123143
- Practice address
- 630 S Raymond Ave Unit 201
Pasadena, CA 91105-3283 - Phone
- (424) 314-0196
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A123143 | CA | Primary |
Addresses
Primary practice location
630 S Raymond Ave Unit 201
Pasadena, CA 91105-3283
Mailing address
630 S Raymond Ave Unit 201
Pasadena, CA 91105-3283
Phone (424) 314-0196
Other practice location 1
1200 N State St Rm 4136
USC Department of Otolaryngology
Los Angeles, CA 90033-1029
Phone (323) 409-1000
Other practice location 2
547 E Union St
Pasadena, CA 91101-1743
Phone (626) 796-6164
Other practice location 3
8631 W 3rd St # 915W
Los Angeles, CA 90048-5901
Phone (424) 314-0196
Other practice location 4
10 Congress St Ste 103
Pasadena, CA 91105-3027
Phone (626) 796-6164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 S Raymond Ave
Unit 201
Pasadena, CA 91105-3283
Phone (424) 314-0199
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123143 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| CHHP Holdings II, LLC | Past | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
8631 W 3rd St
Ste 510
Los Angeles, CA 90048
Phone (310) 278-1490
960 E Green St
Ste 208
Pasadena, CA 91106
Phone (424) 314-0196
630 S Raymond Ave
Unit 201
Pasadena, CA 91105
Phone (424) 314-0196
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Interoperability endpoints
- arieber413303@direct.cshs.org
Organizations & group practices 3
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- General Acute Care Hospital
- Huntington Park, CA
- NPI 1891059127
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1659623429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 S RAYMOND AVE UNIT 201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053283",
"telephone_number": "424-314-0196",
"fax_number": "626-796-0883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S RAYMOND AVE UNIT 201",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053283",
"telephone_number": "424-314-0196"
}
],
"practiceLocations": [
{
"address_1": "1200 N State St Rm 4136",
"address_2": "USC Department of Otolaryngology",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331029",
"country_code": "US",
"telephone_number": "323-409-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "547 E Union St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911011743",
"country_code": "US",
"telephone_number": "626-796-6164",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8631 W 3rd St # 915W",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900485901",
"country_code": "US",
"telephone_number": "424-314-0196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Congress St Ste 103",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911053027",
"country_code": "US",
"telephone_number": "626-796-6164",
"fax_number": "626-796-0883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIEBER",
"first_name": "ALEXIS",
"middle_name": "KOROSTOFF",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A123143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.