Individual provider Active NPI

Erik X Rivera, M.D.

  • Internal Medicine Physician
  • Aspen Hill, MD
National Provider Identifier
1891924866
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D81294 Issued in MD
Practice address
13975 Connecticut Ave
2ND Floor, Holy Cross Health Center - Aspen Hill
Aspen Hill, MD 20906-2921
Phone
(301) 557-1950
Fax
(301) 557-1949
NPI assigned
Jul 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D81294 MD Primary

Addresses

Primary practice location

13975 Connecticut Ave
2ND Floor, Holy Cross Health Center - Aspen Hill
Aspen Hill, MD 20906-2921

Mailing address

13415 Connecticut Ave Ste 100
Aspen Hill, MD 20906-2910
Phone (301) 557-1950

Other identifiers 1

IdentifierTypeStateIssuer
D81294OtherMDMARYLAND BOARD OF PHYSICIANS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121031000233 PR Practitioner - Internal Medicine 8426208307 Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D81294MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erivera85212@direct.trinity-health.org

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1891924866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13415 CONNECTICUT AVE STE 100",
            "city": "ASPEN HILL",
            "state": "MD",
            "postal_code": "209062910",
            "telephone_number": "301-557-1950",
            "fax_number": "301-557-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE",
            "address_2": "2ND FLOOR, HOLY CROSS HEALTH CENTER - ASPEN HILL",
            "city": "ASPEN HILL",
            "state": "MD",
            "postal_code": "209062921",
            "telephone_number": "301-557-1950",
            "fax_number": "301-557-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ERIK",
        "middle_name": "X",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D81294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PHYSICIANS",
            "identifier": "D81294",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen Hill, MD

Sources for this page

Verify at the official NPI Registry.