Active NPI
Roger Kent Rives, MD
- Urology Physician
- Mattoon, IL
National Provider Identifier
1861416372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 036061773
- Practice address
- 500 Health Center Dr
Suite 305
Mattoon, IL 61938-9258 - Phone
- (217) 258-4186
- Fax
- (217) 258-4185
- NPI assigned
- Jul 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036061773 | IL | Primary |
Addresses
Primary practice location
500 Health Center Dr
Suite 305
Mattoon, IL 61938-9258
Mailing address
1005 Health Center Dr
System Practices
Mattoon, IL 61938-4693
Phone (217) 258-2576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036061773 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Associates, S.C. | Urology | Current | Accepting new patients |
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": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1861416372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 HEALTH CENTER DR",
"address_2": "SYSTEM PRACTICES",
"city": "MATTOON",
"state": "IL",
"postal_code": "619384693",
"telephone_number": "217-258-2576",
"fax_number": "217-258-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HEALTH CENTER DR",
"address_2": "SUITE 305",
"city": "MATTOON",
"state": "IL",
"postal_code": "619389258",
"telephone_number": "217-258-4186",
"fax_number": "217-258-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVES",
"first_name": "ROGER",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036061773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.