NPIMap

Individual provider Active NPI

Jose M Rivero, MD

  • Cardiovascular Disease Physician
  • Christiansburg, VA
National Provider Identifier
1881694065
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101056861 Issued in VA
Practice address
1201 Elm St
Christiansburg, VA 24073-1515
Phone
(540) 382-6711
Fax
(540) 382-6712
NPI assigned
Jul 28, 2005
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Cardiovascular Disease Physician 207RC0000X 0101056861 VA Primary

Addresses

Primary practice location

1201 Elm St
Christiansburg, VA 24073-1515

Mailing address

1201 Elm St
Christiansburg, VA 24073-1515
Phone (540) 382-6711

Other identifiers 1

IdentifierTypeStateIssuer
005883326MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrivero12344@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000266 VA Practitioner - Cardiovascular Disease (Cardiology) 6800867268 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

1150 Holston Rd
Wytheville, VA 24382-4109
Phone (540) 382-9405

118 Broad St
Dublin, VA 24084-3211
Phone (540) 674-2485

1201 Elm St
Christianburg, VA 24073-1515
Phone (540) 382-6711

159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

1935 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

1955 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441

2001 Crystal Spring Ave SW
Roanoke, VA 24014-2465

2001 Crystal Spring Swave
Roanoke, VA 24014-2465

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

2900 Lamb Cir
Christiansburg, VA 24073-6341

2900 Lamb Cir
Christiansburg, VA 24073-6344

2900 Lamb Cir
Christiansburg, VA 24073-6345

2900 Lamb CR
Suite 7 700B
Christiansburg, VA 24073-6344
Phone (540) 731-7450

388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone (276) 988-8700

6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110

981 Litton LN
Blacksburg, VA 24060-6340
Phone (540) 558-2400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101056861VAMDCardiovascular Disease Physician
0101050861VAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince May 30, 2012 Accepting new patients
Carilion Giles Community Hospital CurrentSince Feb 17, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 26, 2026 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 30, 2012 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Apr 20, 2025 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 30, 2012 Accepting new patients
Carilion Giles Community Hospital CurrentSince Feb 17, 2020 Accepting new patients
Carilion Medical Center CurrentSince May 30, 2012 Accepting new patients

Locations

1201 Elm St
Christiansburg, VA 24073
Phone (540) 382-6711

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506

Interoperability endpoints

  • Direct secure messaging: jrivero12344@direct.carilionclinic.org

Ownership & related parties

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carilion Giles Community HospitalPearisburg, VA, CCN 491302 Hospital Corporate Director Oct 1, 2021
Carilion Giles Community HospitalPearisburg, VA, CCN 49Z302 Hospital Corporate Director Oct 1, 2021
Carilion Clinic Family MedicinePearisburg, VA, CCN 493418 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicGalax, VA, CCN 493440 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicFloyd, VA, CCN 493442 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicBoones Mill, VA, CCN 493443 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicMartinsville, VA, CCN 493441 Rural health clinic Corporate Director Sep 30, 2022
Carilion Giles Community HospitalHillsville, VA, CCN 493445 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicWytheville, VA, CCN 493444 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicRocky Mount, VA, CCN 493450 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicRocky Mount, VA, CCN 493452 Rural health clinic Corporate Director Sep 30, 2022
Carilion ClinicTazewell, VA, CCN 493451 Rural health clinic Corporate Director Oct 1, 2022
Carilion Giles Community HospitalHardy, VA, CCN 493455 Rural health clinic Corporate Director Sep 30, 2022

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

Organizations & group practices 9

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 8

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1881694065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ELM ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731515",
            "telephone_number": "540-382-6711",
            "fax_number": "540-382-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ELM ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731515",
            "telephone_number": "540-382-6711",
            "fax_number": "540-382-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101056861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005883326",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrivero12344@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "jrivero12344@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1201 Elm St",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240731515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.