Active NPI
Lucian J Rivela MD PA
- Plastic Surgery Physician
- The Woodlands, TX
National Provider Identifier
1881766467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- K4991
- Legal business name
- LUCIAN J RIVELA MD PA
- Practice address
- 9191 Pinecroft Dr
Suite 150
The Woodlands, TX 77380 - Phone
- (281) 681-3905
- Fax
- (281) 362-0403
- NPI assigned
- Nov 15, 2006
- Last updated
- Mar 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucian Joseph Rivela, MD
- Title
- Owner
- Phone
- (281) 681-3905
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | K4991 | TX | Primary |
Addresses
Primary practice location
9191 Pinecroft Dr
Suite 150
The Woodlands, TX 77380
Mailing address
1442 Kingwood Drive
PMB 73
Kingwood, TX 77339
Phone (281) 354-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9191 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 681-3905
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- The Woodlands, TX
- NPI 1407849565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206489600000",
"number": "1881766467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1442 KINGWOOD DRIVE",
"address_2": "PMB 73",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "77339",
"telephone_number": "281-354-1234",
"fax_number": "281-354-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 PINECROFT DR",
"address_2": "SUITE 150",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77380",
"telephone_number": "281-681-3905",
"fax_number": "281-362-0403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCIAN J RIVELA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2008-03-26",
"status": "A",
"authorized_official_last_name": "RIVELA",
"authorized_official_first_name": "LUCIAN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-681-3905",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "K4991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.