Active NPI
Eugenio Rivera Jr., M.D.
- Diagnostic Radiology Physician
- Albuquerque, NM
National Provider Identifier
1689678393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 92-167
- Practice address
- 4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109-5888 - Phone
- (505) 332-6900
- Fax
- (505) 332-6921
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 92-167 | NM | Primary |
Addresses
Primary practice location
4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109-5888
Mailing address
4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109-5888
Phone (505) 332-6900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45138 | Medicaid | NM | |
| 00014212 | Medicaid | NM | |
| 2258272 | Other | NM | MEDICARE GROUP |
| L0634 | Medicaid | NM | |
| 52713 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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
- Diagnostic Radiology
- Education
- Howard University College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8223 Desert Plume LN NE
Albuquerque, NM 87122-1250
Phone (800) 841-4236
Hospital & facility affiliations
- Presbyterian Hospital
- Plains Regional Medical Center
- Lincoln County Medical Center
- Presbyterian Santa Fe Medical Center
- Presbyterian Espanola Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.28 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 77.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92-167 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
2400 Unser Blvd SE
Ste 29200
Albuquerque, NM 87124
4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800
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.
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1881666998
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1558416974
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1730684853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1689678393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 THE 25 WAY NE",
"address_2": "STE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095888",
"telephone_number": "505-332-6900",
"fax_number": "505-332-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 THE 25 WAY NE",
"address_2": "STE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095888",
"telephone_number": "505-332-6900",
"fax_number": "505-332-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "EUGENIO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "92-167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45138",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00014212",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "2258272",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L0634",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52713",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.