Active NPI
Michelle Papadopoulos Rivers, MD
- Family Medicine Physician
- Fort Myers, FL
National Provider Identifier
1871097543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME152288
- Practice address
- 8960 Colonial Center Dr Ste 300
Fort Myers, FL 33905-7810 - Phone
- (239) 343-9470
- Fax
- (239) 343-9498
- NPI assigned
- Mar 19, 2018
- Last updated
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME152288 | FL | Primary |
| Family Medicine Physician | 207Q00000X | T3173 | TX |
Addresses
Primary practice location
8960 Colonial Center Dr Ste 300
Fort Myers, FL 33905-7810
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9470
Other practice location 1
3801 Scott and White Dr
Killeen, TX 76543-5252
Phone (254) 680-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114493100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mrivers298170@Direct.leememorial.org | Direct | Lee Memorial Health System |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME152288 | FL | MD | Family Medicine Physician |
| T3173 | TX | MD | Family Medicine Physician |
Interoperability endpoints
- mrivers298170@direct.leememorial.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1871097543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-9470",
"fax_number": "239-343-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8960 COLONIAL CENTER DR STE 300",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057810",
"telephone_number": "239-343-9470",
"fax_number": "239-343-9498"
}
],
"practiceLocations": [
{
"address_1": "3801 Scott and White Dr",
"address_purpose": "LOCATION",
"city": "Killeen",
"state": "TX",
"postal_code": "765435252",
"country_code": "US",
"telephone_number": "254-680-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERS",
"first_name": "MICHELLE",
"middle_name": "PAPADOPOULOS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME152288",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "T3173",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114493100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrivers298170@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.