Active NPI
Diego Alexander Riveros
- Sports Medicine (Emergency Medicine) Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- ME138836
- Practice address
- 1 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (813) 844-7000
- NPI assigned
- Mar 30, 2017
- Last updated
- Nov 4, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 29727 | WV | |
| Emergency Medicine Physician | 207P00000X | MD470775 | PA | |
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | ME138836 | FL | Primary |
Addresses
Primary practice location
1 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
6860 30TH Ave N
Saint Petersburg, FL 33710-3002
Phone (352) 260-2226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105193900 | Medicaid | FL | |
| WHLWQ | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | driveros270860@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-7000
4202 E Fowler Ave
Tampa, FL 33620-6750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29727 | WV | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Emergency Physicians-Heartland LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| Tampa Bay Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Emergency Services of Zephyrhills PA | Emergency Medicine | Current | Accepting new patients |
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| Em Alliance LLC | Emergency Medicine | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
7 Easton Oval
#L4387
Columbus, OH 43219
300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600
Networks
- Freedom Health HMO Network
Interoperability endpoints
- driveros173095@direct.wvuhsdirect.com
- driveros270860@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Dade City, FL
- NPI 1265631097
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1114977428
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Emergency Medicine Physician
- Wellington, FL
- NPI 1922788959
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
- Internal Medicine Physician
- Ranson, WV
- NPI 1316364953
-
dba Jefferson Medical Center
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1891227625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6860 30TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337103002",
"telephone_number": "352-260-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-844-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVEROS",
"first_name": "DIEGO",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "29727",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD470775",
"primary": false
},
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "FL",
"license": "ME138836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105193900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "WHLWQ",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "driveros270860@direct.tgh.org",
"affiliation": "N",
"address_1": "1 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.