Organization Active NPI

Dr. Orlando H. Rivera, DPM, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1679735013
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1311 Issued in TX
Legal business name
DR. ORLANDO H. RIVERA, DPM, P.A.
Practice address
5225 Katy Fwy Ste 650
Houston, TX 77007-2255
Phone
(713) 691-9600
Fax
(713) 692-9663
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Dr. Orlando Heraclio Rivera, DPMNPI 1720016827
Title
Owner
Phone
(713) 691-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1311 TX Primary

Addresses

Primary practice location

5225 Katy Fwy Ste 650
Houston, TX 77007-2255

Mailing address

5225 Katy Fwy Ste 650
Houston, TX 77007-2255
Phone (713) 691-9600

Other identifiers 3

IdentifierTypeStateIssuer
092853302MedicaidTX
480032577OtherTXRAILROAD MEDICARE NUMBER
1311OtherTXSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050804000911 TX Part B Supplier - Clinic/Group Practice 5294764775 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20100930030080 TX DME Supplier - Physician - Podiatry 5294764775 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

7007 North Fwy
Ste 410
Houston, TX 77076
Phone (630) 926-3408

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1679735013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 KATY FWY STE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072255",
            "telephone_number": "713-691-9600",
            "fax_number": "713-692-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 KATY FWY STE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072255",
            "telephone_number": "713-691-9600",
            "fax_number": "713-692-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ORLANDO H. RIVERA, DPM, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "HERACLIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-691-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092853302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "480032577",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1311",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.