Individual provider Active NPI

Keiler Moreno Rivero, M.D

  • Internal Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1659780625
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME127177 Issued in FL
Practice address
2940 Mallory Cir Ste 202
Kissimmee, FL 34747-1818
Phone
(407) 269-8550
Fax
(407) 288-1010
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME127177 FL Primary

Addresses

Primary practice location

2940 Mallory Cir Ste 202
Kissimmee, FL 34747-1818

Mailing address

2940 Mallory Cir Ste 202
Celebration, FL 34747-1818
Phone (407) 269-8550

Other practice location 1

1065 N John Young Pkwy
Kissimmee, FL 34741-4210
Phone (407) 269-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161104001172 FL Practitioner - Internal MedicinePractitioner - Family Practice 7911285325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keiler Heberto Moreno Rivero, P.aGroup PAC ID 6002153145, 14 clinicians

Practice addresses (Care Compare)

1065 N John Young Pkwy
Kissimmee, FL 34741-4210
Phone (407) 269-8550

2100 S Chickasaw TRL
Suite 101
Orlando, FL 32825-8444
Phone (407) 237-7014

2940 Mallory Cir
Suite 202
Celebration, FL 34747-1818
Phone (407) 269-8550

Hospital & facility affiliations

  • Mederi Caretenders Home health agency, Kissimmee, FL, CCN 107422
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keiler Heberto Moreno Rivero, P.a. Internal Medicine CurrentSince Sep 4, 2018 Accepting new patients
Morenos Medical Centers LLC Internal Medicine Current Accepting new patients

Locations

2940 Mallory Cir
Ste 203
Celebration, FL 34747

2954 Mallory Cir
Ste 200
Kissimmee, FL 34747
Phone (407) 238-0137

1065 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 269-8550

2940 Mallory Cir
Ste 202
Kissimmee, FL 34747
Phone (407) 269-8550

4024 W Vine St
Kissimmee, FL 34741

13000 Avalon Lake Dr
Ste 100
Orlando, FL 32828
Phone (321) 235-0970

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEAGBD

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 4

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1659780625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 MALLORY CIR STE 202",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347471818",
            "telephone_number": "407-269-8550",
            "fax_number": "407-288-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 MALLORY CIR STE 202",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471818",
            "telephone_number": "407-269-8550",
            "fax_number": "407-288-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 N John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414210",
            "country_code": "US",
            "telephone_number": "407-269-8550",
            "fax_number": "407-288-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO RIVERO",
        "first_name": "KEILER",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME127177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.