Active NPI
Alejandro Alberto Rivas, MD
- Legal Medicine
- Nashville, TN
National Provider Identifier
1780629915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MD10953
- Practice address
- 3443 Dickerson Pike
Suite 400
Nashville, TN 37207 - Phone
- (615) 889-4212
- Fax
- (615) 889-3906
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MD10953 | TN | Primary |
Addresses
Primary practice location
3443 Dickerson Pike
Suite 400
Nashville, TN 37207
Mailing address
3215 Lakeshore Drive
Old Hickory, TN 37138
Phone (615) 889-4212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3168734 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080523000191 | TN | Practitioner - General Surgery | 9032288592 | Practice locations: Old Hickory, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10953 | TN | MD | General Practice Dentistry |
| MD10953 | TN | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1780629915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 LAKESHORE DRIVE",
"city": "OLD HICKORY",
"state": "TN",
"postal_code": "37138",
"telephone_number": "615-889-4212",
"fax_number": "615-889-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "SUITE 400",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37207",
"telephone_number": "615-889-4212",
"fax_number": "615-889-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "ALEJANDRO",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "TN",
"license": "MD10953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3168734",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.