Individual provider Active NPI

Enrique Rivera, MD

  • Interventional Cardiology Physician
  • Bradenton, FL
National Provider Identifier
1831186279
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME79810 Issued in FL
Practice address
4351 Cortez Rd W Ste 200
Bradenton, FL 34210-3217
Phone
(941) 345-1950
Fax
(941) 345-1951
NPI assigned
Sep 30, 2005
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME79810 FL
Interventional Cardiology Physician 207RI0011X ME79810 FL Primary

Addresses

Primary practice location

4351 Cortez Rd W Ste 200
Bradenton, FL 34210-3217

Mailing address

PO Box 850001 Dept 217
Orlando, FL 32885-0217
Phone (941) 345-1950

Other identifiers 2

IdentifierTypeStateIssuer
260550300MedicaidFL
58025OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050310000817 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1456305598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Cardiovascular Consultants PLLCGroup PAC ID 5395050355, 4 clinicians

Practice addresses (Care Compare)

4351 Cortez Rd W
Suite 200
Bradenton, FL 34210-3217
Phone (941) 345-1950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting110
Pacemaker insertion or repair11
Varicose vein removal1-10
Leg revascularization (restoring blood flow)75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Cardiovascular Consultants PLLC Cardiovascular Disease CurrentSince Jul 15, 2015 Accepting new patients
DRS Baker & Gilmour MD PA Cardiovascular Disease Past Accepting new patients
Healthcare America Medical Group, Inc. Past Accepting new patients
DRS Baker & Gilmour MD PA Cardiovascular Disease Past Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

3904 Cortez Rd W
Bradenton, FL 34210
Phone (941) 345-1943

3904 Cortez Rd W
Ste 300
Bradenton, FL 34210
Phone (239) 850-3925

4351 Cortez Rd W
Ste 200
Bradenton, FL 34210
Phone (941) 345-1950

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: enrique.rivera@cccbra.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1831186279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001 DEPT 217",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850217",
            "telephone_number": "941-345-1950",
            "fax_number": "941-345-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 CORTEZ RD W STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103217",
            "telephone_number": "941-345-1950",
            "fax_number": "941-345-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME79810",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME79810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260550300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58025",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.