Individual provider Active NPI

Edwin Gabriel Otero Rivera, MD, MPH

  • Hospitalist Physician
  • San Antonio, TX
National Provider Identifier
1740704303
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
S6471 Issued in TX
Practice address
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone
(210) 428-5908
NPI assigned
Jul 26, 2017
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X S6471 TX Primary

Addresses

Primary practice location

1310 McCullough Ave
San Antonio, TX 78212-5601

Mailing address

PO Box 857
Punta Santiago, PR 00741-0857
Phone (787) 559-3680

Other practice location 1

1945 Lockhill Selma Rd Ste 204
San Antonio, TX 78213-1554
Phone (210) 464-6426

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200916003231 TX Practitioner - Hospitalist 4789002163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7195

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6471TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coe-Medical PLLC CurrentSince Jul 22, 2025 Accepting new patients
Inpatient Progressive Health of America, PLLC Hospitalist CurrentSince Dec 2, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince May 12, 2025 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Mar 21, 2024 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Wellmed Medical Group, PA PastSince Aug 3, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

6500 Brush Country Rd
Austin, TX 78749
Phone (512) 326-1141

600 Elizabeth St
#9B
Corpus Christi, TX 78404
Phone (361) 861-1861

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit HospiceSan Antonio, TX, CCN 671746 Hospice Contracted Managing Employee Jun 2, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1740704303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 857",
            "city": "PUNTA SANTIAGO",
            "state": "PR",
            "postal_code": "007410857",
            "telephone_number": "787-559-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125601",
            "telephone_number": "210-428-5908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Lockhill Selma Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782131554",
            "country_code": "US",
            "telephone_number": "210-464-6426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO RIVERA",
        "first_name": "EDWIN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "S6471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.