Active NPI
Miguel A Rivera, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- ME0082451
- Practice address
- Florida ENT & Allergy
1139 Nikki View Dr.
Brandon, FL 33511-4879 - Phone
- (813) 879-8045
- Fax
- (813) 685-2477
- NPI assigned
- Oct 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | ME0082451 | FL | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | ME0082451 | FL | Primary |
Addresses
Primary practice location
Florida ENT & Allergy
1139 Nikki View Dr.
Brandon, FL 33511-4879
Mailing address
Select Physicians Alliance
10002 Princess Palm Ave. Ste 332
Tampa, FL 33619-8327
Phone (813) 571-7184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266573500 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Nevada School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1139 Nikki View Dr
Brandon, FL 33511-4879
Phone (813) 879-8045
13015 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 879-8045
1303 Mosley Dr
Lynn Haven, FL 32444-5625
Phone (850) 784-7722
3000 Medical Park Dr
Suite 200
Tampa, FL 33613-4695
Phone (813) 879-8045
5105 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 879-8045
7425 Monika Manor Dr
Tampa, FL 33625-5814
Phone (813) 879-8045
900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2350
Phone (561) 391-3333
Hospital & facility affiliations
- St Josephs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0082451 | FL | MD | Facial Plastic Surgery Physician |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1699860122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SELECT PHYSICIANS ALLIANCE",
"address_2": "10002 PRINCESS PALM AVE. STE 332",
"city": "TAMPA",
"state": "FL",
"postal_code": "336198327",
"telephone_number": "813-571-7184",
"fax_number": "813-654-4695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FLORIDA ENT & ALLERGY",
"address_2": "1139 NIKKI VIEW DR.",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114879",
"telephone_number": "813-879-8045",
"fax_number": "813-685-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MIGUEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "FL",
"license": "ME0082451",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "FL",
"license": "ME0082451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266573500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.