Individual provider Active NPI

Lizmar Rivera, MD

  • Family Medicine Physician
  • Sweetwater, TX
National Provider Identifier
1851178024
Registry record updated Nov 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351052054 Issued in MI
Practice address
201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone
(325) 235-8641
NPI assigned
Sep 12, 2023
Last updated
Nov 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351052054 MI Primary

Addresses

Primary practice location

201 E Arizona Ave
Sweetwater, TX 79556-7119

Mailing address

201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone (325) 235-8641

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lizmar.riveranunez.p1@direct.oihn.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231026002804 MI Practitioner - Family Practice 2466808415 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351052054MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Integrated Healthcare Network CurrentSince Oct 2, 2023 Accepting new patients
Oakland Integrated Healthcare Network CurrentSince Oct 2, 2023 Accepting new patients
Oakland Integrated Healthcare Network Past Accepting new patients
County of Oakland Past Accepting new patients
Oakland Integrated Healthcare Network Past Accepting new patients

Locations

1051 Arlene Ave
Pontiac, MI 48340
Phone (248) 451-4702

1200 N Telegraph Rd
#87
Pontiac, MI 48341
Phone (248) 724-7435

1200 N Telegraph Rd
Bldg 34E
Pontiac, MI 48341
Phone (248) 858-1276

1200 N Telegraph Rd
Dept 34
Pontiac, MI 48341
Phone (248) 858-1280

1275 N Perry St
Pontiac, MI 48340
Phone (248) 451-8030

1700 Baldwin Ave
Pontiac, MI 48340
Phone (248) 256-5509

1701 Baldwin Ave
Pontiac, MI 48340
Phone (248) 334-4962

461 W Huron St
Ste 107
Pontiac, MI 48341
Phone (248) 857-7432

6500 Sheldon Rd
Rochester Hills, MI 48306

22200 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 359-8778

279 Summit Dr
Waterford, MI 48328
Phone (248) 724-7700

3825 W Walton Blvd
Waterford, MI 48329

501 N Cass Lake Rd
Rm 213
Waterford, MI 48328
Phone (248) 674-4876

Interoperability endpoints

  • Direct secure messaging: lizmar.riveranunez.p1@direct.oihn.nextgenshare.com
  • Direct secure messaging: lriveranunez3079840@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793491200000",
    "number": "1851178024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567119",
            "telephone_number": "325-235-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ARIZONA AVE",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567119",
            "telephone_number": "325-235-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LIZMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2026-11-01",
        "certification_date": "2026-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351052054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lizmar.riveranunez.p1@direct.oihn.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1200 N Telegraph Rd Dept 34E",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483411032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

Verify at the official NPI Registry.