Active NPI
Juanita M Rivera, M.D.
- Anesthesiology Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301081471
- Practice address
- 4005 Orchard Dr
Midland, MI 48670-0001 - Phone
- (989) 839-3606
- Fax
- (989) 839-1509
- NPI assigned
- Jan 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301081471 | MI | Primary |
| Anesthesiology Physician | 207L00000X | 47082 | MN |
Addresses
Primary practice location
4005 Orchard Dr
Midland, MI 48670-0001
Mailing address
4005 Orchard Dr
Midland, MI 48670-0001
Phone (989) 839-3606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 741122700 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Anesthesiology
- Education
- Michigan State University College of Human Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 482-7246
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000
Hospital & facility affiliations
- Mymichigan Medical Center Midland
- Edward W Sparrow Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47082 | MN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia and Pain Management | Anesthesiology | Current | Accepting new patients |
| Mid Michigan Anesthesiology Group, PC | Anesthesiology | Current | Accepting new patients |
Locations
1200 E Michigan Ave
Lowr
Lansing, MI 48912
Phone (517) 364-5252
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1540 Lake Lansing Rd
Ste G
Lansing, MI 48912
4005 Orch Dr
Midland, MI 48670
Phone (989) 839-3100
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600
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.
-
- Pain Medicine (Anesthesiology) Physician
- Lansing, MI
- NPI 1952508582
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Anesthesiology Physician
- Midland, MI
- NPI 1932131349
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1730168907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 ORCHARD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486700001",
"telephone_number": "989-839-3606",
"fax_number": "989-839-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 ORCHARD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486700001",
"telephone_number": "989-839-3606",
"fax_number": "989-839-1509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JUANITA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301081471",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "47082",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "741122700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.