Individual provider Active NPI

Wilhem Rivera, M.D.

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1699062612
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD043185 Issued in DC
Practice address
500 Indiana Ave NW Ste 1230
Washington, DC 20001-2131
Phone
(202) 879-0220
Fax
(202) 879-1618
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT200509 PA
Psychiatry Physician 2084P0800X MD043185 DC Primary

Addresses

Primary practice location

500 Indiana Ave NW Ste 1230
Washington, DC 20001-2131

Mailing address

1001 3Rd St SW Apt 106
Washington, DC 20024-4405
Phone (717) 851-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20180920002496 DC Practitioner - Psychiatry 1153672761 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT200509PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Ave Psychiatric Center Inc Psychiatry CurrentSince Mar 17, 2019 Accepting new patients
Wellness Healthcare Clinics. LLC CurrentSince Jan 1, 2021 Accepting new patients
Love Your Life Healthcare Inc CurrentSince Jul 1, 2017 Accepting new patients
Bradley & Associates, LLC CurrentSince Jul 31, 2022 Accepting new patients

Locations

333 Hawaii Ave NE
Ste 100
Washington, DC 20011
Phone (202) 232-4270

4660 Martin Luther King Jr Ave SW
Ste A3
Washington, DC 20032
Phone (202) 318-0179

3417 18th St NE
Washington, DC 20018
Phone (202) 629-2917

4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1699062612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 3RD ST SW APT 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200244405",
            "telephone_number": "717-851-2345",
            "fax_number": "717-851-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE NW STE 1230",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012131",
            "telephone_number": "202-879-0220",
            "fax_number": "202-879-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "WILHEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT200509",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD043185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.