Active NPI
Frank J Rivera, MD
- Vascular & Interventional Radiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- G5541
- Practice address
- 3604 Live Oak St
Suite # 100
Dallas, TX 75204-6168 - Phone
- (214) 358-2300
- Fax
- (214) 366-6330
- NPI assigned
- May 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G5541 | TX | |
| Vascular & Interventional Radiology Physician | 2085R0204X | G5541 | TX | Primary |
Addresses
Primary practice location
3604 Live Oak St
Suite # 100
Dallas, TX 75204-6168
Mailing address
1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300
Other practice location 1
4401 Tradition Trl
Plano, TX 75093-5633
Phone (214) 358-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G5541 | Other | TX | MEDICAL LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5541 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Nephrology Associates | Current | Accepting new patients | |
| Dallas Nephrology Associates | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
3604 Live Oak St
Ste 300
Dallas, TX 75204
Phone (214) 826-4224
3604 Live Oak St
Ste 100
Dallas, TX 75204
1420 Viceroy Dr
Dallas, TX 75235
1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012
1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200
1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153
4510 Medical Center Dr
Ste 305B
McKinney, TX 75069
4401 Tradition Trl
Plano, TX 75093
Phone (214) 579-6600
Interoperability endpoints
- frivera52402@direct.acumenmd.com
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
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.
-
- Nephrology Physician
- Dallas, TX
- NPI 1861440109
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1053634030
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1235269119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1760437305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 LBJ FWY STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752346065",
"telephone_number": "214-358-2300",
"fax_number": "214-366-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3604 LIVE OAK ST",
"address_2": "SUITE # 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046168",
"telephone_number": "214-358-2300",
"fax_number": "214-366-6330"
}
],
"practiceLocations": [
{
"address_1": "4401 Tradition Trl",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750935633",
"country_code": "US",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "FRANK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "G5541",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "G5541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G5541",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.