Active NPI
Ismael Felipe Rivera, MD
- Family Medicine Physician
- Concord, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 290810
- Practice address
- 133 Old Road to 9 Acre Cor
Dept of Hospital Medicine
Concord, MA 01742-4169 - Phone
- (978) 287-8311
- NPI assigned
- Jun 5, 2018
- Last updated
- Jul 9, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT215340 | PA | |
| Family Medicine Physician | 207Q00000X | MD475400 | PA | |
| Family Medicine Physician | 207Q00000X | 290810 | MA | Primary |
Addresses
Primary practice location
133 Old Road to 9 Acre Cor
Dept of Hospital Medicine
Concord, MA 01742-4169
Mailing address
133 Old Road to Nac Cor
Dept. of Hospital Medicine
Concord, MA 01742-4159
Phone (978) 287-3167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Massachusetts Medical School, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020
133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159
330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (781) 983-9088
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Reading Hospital | Family Medicine | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Reading Hospital | Current | Accepting new patients | |
| Emerson Practice Associates, Inc. | Current | Accepting new patients | |
| Mount Auburn Hospital | Past | Accepting new patients | |
| Emerson Hospital | Past | Accepting new patients |
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
1 General St
Lawrence, MA 01841
Phone (978) 946-8103
9 Northeastern Blvd
Ste 400
Salem, NH 03079
301 S 7th Ave
Ste 200
West Reading, PA 19611
Phone (484) 626-8198
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
Interoperability endpoints
- rivera.ismael.epa@direct.partners.masshiway.net
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.
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
dba Reading Hospital Family Health Care Center
- Family Medicine Physician
- West Reading, PA
- NPI 1194883306
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
dba Reading Hospital Limerick Pharmacy
- Community/Retail Pharmacy
- Limerick, PA
- NPI 1487468914
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, MA
- NPI 1922103357
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1689670259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688860800000",
"number": "1750873816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 OLD ROAD TO NAC COR",
"address_2": "DEPT. OF HOSPITAL MEDICINE",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424159",
"telephone_number": "978-287-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 OLD ROAD TO 9 ACRE COR",
"address_2": "DEPT OF HOSPITAL MEDICINE",
"city": "CONCORD",
"state": "MA",
"postal_code": "017424169",
"telephone_number": "978-287-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ISMAEL",
"middle_name": "FELIPE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2023-07-09",
"certification_date": "2023-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT215340",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD475400",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "290810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; 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.