Individual provider Active NPI

Ismael Felipe Rivera, MD

  • Family Medicine Physician
  • Concord, MA
National Provider Identifier
1750873816
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
290810 Issued in MA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211230001546 PA Practitioner - Family Practice 7416204524 Reassigns benefits to 1 organization
I20230119003225 MA Practitioner - Family Practice 7416204524 Reassigns benefits to 2 organizations

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
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians

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

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 25, 2025 Accepting new patients
Reading Hospital Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 25, 2025 Accepting new patients
Reading Hospital CurrentSince Jan 3, 2022 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Oct 8, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.