Individual provider Active NPI

Frieda Rivera, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1710077433
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J6219 Issued in TX
Practice address
4410 Navigation Blvd
Suite 278
Houston, TX 77011-1036
Phone
(713) 547-8282
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J6219 TX Primary

Addresses

Primary practice location

4410 Navigation Blvd
Suite 278
Houston, TX 77011-1036

Mailing address

PO Box 841969
Dallas, TX 75284-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070918000252 TX Practitioner - Pediatric Medicine 2860586179 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J6219TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Apr 25, 2022 Accepting new patients
Legacy Community Health Services, Inc Pediatrics CurrentSince Apr 25, 2022 Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients

Locations

12667 Bissonnet St
Houston, TX 77099
Phone (281) 498-6100

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1710077433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841969",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 NAVIGATION BLVD",
            "address_2": "SUITE 278",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770111036",
            "telephone_number": "713-547-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "FRIEDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J6219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.