Individual provider Active NPI

Richard J. Vivero, M.D.

  • Otolaryngology Physician
  • Miami, FL
National Provider Identifier
1669620589
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME 114747 Issued in FL
Practice address
8940 N Kendall Dr
Suite 504E
Miami, FL 33176-2148
Phone
(305) 595-6200
Fax
(786) 533-1680
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X L19947193 MA
Otolaryngology Physician 207Y00000X ME 114747 FL Primary

Addresses

Primary practice location

8940 N Kendall Dr
Suite 504E
Miami, FL 33176-2148

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address richardjvivero@sfa.allscriptsdirect.net South Florida ENT Associates, Inc.

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
I20130724000436 FL Practitioner - Otolaryngology 9335393735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Miami, LM Miller School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

6705 S Red Rd
Suite 704And706
South Miami, FL 33143-3622
Phone (305) 667-4515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 114747FLMDOtolaryngology Physician
L19947193MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince Jul 1, 2013 Accepting new patients
Florida ENT Associates, Inc. Otolaryngology PastSince Jul 1, 2013 Accepting new patients

Locations

8940 N Kendall Dr
Ste 504E
Miami, FL 33176
Phone (305) 595-6200

4302 Alton Rd
Ste 115
Miami Beach, FL 33140
Phone (305) 531-7637

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

8181 NW 154th St
Ste 200
Miami Lakes, FL 33016
Phone (225) 298-3537

18501 Pines Blvd
Ste 210
Pembroke Pines, FL 33029
Phone (954) 237-2505

6705 S Red Rd
Ste 704
South Miami, FL 33143
Phone (305) 595-9806

6705 S Red Rd
Ste 706
South Miami, FL 33143
Phone (305) 667-4515

Interoperability endpoints

  • Direct secure messaging: richardjvivero@sfa.allscriptsdirect.net

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1669620589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR",
            "address_2": "SUITE 504E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762148",
            "telephone_number": "305-595-6200",
            "fax_number": "786-533-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVERO",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "L19947193",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME 114747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richardjvivero@sfa.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "South Florida ENT Associates, Inc.",
            "address_1": "8940 N Kendall Dr",
            "address_2": "Suite 504E",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.