Active NPI
Andrew Laurence Rivard, MD
- Diagnostic Radiology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 21193
- Practice address
- 2500 State Street
University of Mississippi Medical Center
Jackson, MS 39216 - Phone
- (601) 984-1000
- NPI assigned
- Mar 28, 2006
- Last updated
- Mar 11, 2014
- 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 | 45475 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 21193 | MS | Primary |
Addresses
Primary practice location
2500 State Street
University of Mississippi Medical Center
Jackson, MS 39216
Mailing address
2500 North State Street
University of Mississippi Medical Center
Jackson, MS 39216
Phone (601) 984-2538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01167582 | Other | MS | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, IN
- 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
- Diagnostic Radiology
- Education
- University of Minnesota Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (219) 757-6320
253 Ridge Dr
Jackson, MS 39216-4112
Phone (888) 501-6087
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45475 | MN | MD | Diagnostic Radiology Physician |
| 21193 | MS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Sibley Medical Center | Past | Accepting new patients | |
| University Radiation Oncology Consultants, PLLC | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
Organizations & group practices 4
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.
-
- Radiation Oncology Physician
- Jackson, MS
- NPI 1316026818
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
dba Ridgeview Sibley Medical Center - Swing
- Medicare Defined Swing Bed Hospital Unit
- Arlington, MN
- NPI 1003876491
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension St. Vincent Kokomo
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
dba Ascension St. Vincent Anderson
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
-
dba Ascension St. Vincent Carmel
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
dba Ascension St. Vincent Heart Center
- Special Hospital
- Carmel, IN
- NPI 1982681748
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1780645028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"address_2": "UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-984-2538",
"fax_number": "601-815-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 STATE STREET",
"address_2": "UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-984-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVARD",
"first_name": "ANDREW",
"middle_name": "LAURENCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "45475",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "21193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01167582",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Kristen B Rimes, LMSW
- John Anderson Rings
- Davis Rippee
- Jacob Risher, MD
- Brody Lee Risinger, MD
- River Oaks Hospital, Inc.
- River Oaks Management Company (Comprehensive Weight Management Center)
- River Oaks Management Company Inc (Central MS Bone Density & Joint Specialists)
- River Oaks Management Company Inc (Cardiovascular Services of Central Mississippi)
- River Oaks Management Company LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.