Individual provider Active NPI

Olga E Rivera, PA-C

  • Surgical Physician Assistant
  • Miami, FL
National Provider Identifier
1861160194
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
2800 Biscayne Blvd Ste 1010
Miami, FL 33137-4559
Phone
(305) 467-5678
Fax
(305) 821-6782
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

2800 Biscayne Blvd Ste 1010
Miami, FL 33137-4559

Mailing address

2800 Biscayne Blvd Ste 1010
Miami, FL 33137-4559
Phone (305) 467-5678

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211130001162 FL Practitioner - Physician Assistant 2163812439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians

Practice addresses (Care Compare)

240 Crandon Blvd
Suite 110
Key Biscayne, FL 33149-1543
Phone (786) 595-8250

8725 SW 136TH St
Miami, FL 33176-5814

8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc Single Specialty CurrentSince Dec 5, 2022 Accepting new patients

Locations

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1861160194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BISCAYNE BLVD STE 1010",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374559",
            "telephone_number": "305-467-5678",
            "fax_number": "305-821-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BISCAYNE BLVD STE 1010",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374559",
            "telephone_number": "305-467-5678",
            "fax_number": "305-821-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "OLGA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.