Individual provider Active NPI

Frank J Rivera, MD

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
National Provider Identifier
1760437305
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
G5541 Issued in TX
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

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G5541OtherTXMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001216 TX Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9931197597 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G5541TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates CurrentSince Nov 22, 2016 Accepting new patients
Dallas Nephrology Associates CurrentSince Nov 22, 2016 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

  • Direct secure messaging: frivera52402@direct.acumenmd.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.