Individual provider Active NPI

Gustavo Adolfo Rivero, M.D.

  • Hematology (Internal Medicine) Physician
  • Washington, DC
National Provider Identifier
1790736155
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
MD210003079 Issued in DC
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(202) 444-3736
Fax
(202) 444-0939
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P3066 TX
Internal Medicine Physician 207R00000X ME 93827 FL
Hematology (Internal Medicine) Physician 207RH0000X P3066 TX
Hematology & Oncology Physician 207RH0003X P3066 TX
Hematology (Internal Medicine) Physician 207RH0000X MD210003079 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

500 Frank W Burr Boulevard
Suite 560 Mailbox 29
Teaneck, NJ 07666
Phone (201) 510-0910

Other identifiers 6

IdentifierTypeStateIssuer
2Q5020OtherDCMEDICARE
100127C041273OtherFLMCARE 1011
2741245-00MedicaidFL
29467OtherFLBCBS
023680306MedicaidDC
P00384348OtherFLRR MCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address grivero11700@bcm.ghhdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20051208000624 FL Practitioner - HematologyPractitioner - Internal Medicine 2961423702 Reassigns benefits to 2 organizations
I20110523000779 DC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2961423702 Reassigns benefits to 1 organization
I20120126000295 TX Practitioner - HematologyPractitioner - Internal MedicinePractitioner - Medical Oncology 2961423702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

2 Tampa General Cir
FL 3
Tampa, FL 33606-3571
Phone (813) 844-7585

Hospital & facility affiliations

  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 93827FLMDInternal Medicine Physician
MD210003079DCMDHematology (Internal Medicine) Physician
P3066TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Aug 1, 2014 Accepting new patients
Baylor College of Medicine Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Tampa General Medical Group Inc CurrentSince Dec 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Cancer Center of South Florida PLLC Hematology & Oncology CurrentSince Dec 9, 2024 Accepting new patients
Regional Cancer Care Associates, L.L.C. Hematology & Oncology CurrentSince Feb 1, 2023 Accepting new patients
Cancer Center of South Florida PLLC Current Accepting new patients
Regional Cancer Care Associates LLC Hematology & Oncology CurrentSince Feb 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2024 Accepting new patients
Inpatient Specialists PA Internal Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

3140 S Falkenburg Rd
Ste 301
Riverview, FL 33578
Phone (813) 844-4600

3140 S Falkenburg Rd
Riverview, FL 33578
Phone (813) 578-2844

10740 Palm River Rd
Ste 360
Tampa, FL 33619
Phone (813) 660-6400

2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600

500 Frank W Burr Blvd
Ste 560
Teaneck, NJ 07666

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

7200 Cambridge St
Fl 7
Houston, TX 77030
Phone (713) 798-1999

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: grivero27394@direct.houstonmethodist.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1790736155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FRANK W BURR BOULEVARD",
            "address_2": "SUITE 560 MAILBOX 29",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-510-0910",
            "fax_number": "201-621-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-3736",
            "fax_number": "202-444-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "GUSTAVO",
        "middle_name": "ADOLFO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3066",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 93827",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "TX",
            "license": "P3066",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "P3066",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "DC",
            "license": "MD210003079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2Q5020",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE 1011",
            "identifier": "100127C041273",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2741245-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29467",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023680306",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "P00384348",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grivero11700@bcm.ghhdirect.net",
            "affiliation": "N",
            "address_1": "7200 Cambridge St Fl 7",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770304202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.