Homero Rivas II, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

42493 Issued in TN

Practice address

5617 Highway 153
Suite 103
Hixson, TN 37343-4675

Phone

(423) 485-3226

Fax

(423) 485-3302

NPI assigned

Jul 31, 2007

Last updated

Aug 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physical Medicine and Rehabilitation

Education

University of Texas Medical Branch at Galveston, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen V. Dreskin MD PCGroup PAC ID 2163491747, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: homero.rivas.1@590.direct.athenahealth.com

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.

• Stephen V Dreskin MD PC

  dba Tennessee Valley Pain Management

  • Pain Medicine Physician
  • Chattanooga, TN
  • NPI 1619056462
  Medicare reassignment Care Compare group NPD
• Chattanooga Spine and Body, Inc

  • Medical Specialty Clinic/Center
  • Hixson, TN
  • NPI 1740671668
  NPD (past) Authorized official
• Stephen V. Dreskin MD PC

  dba TN Valley Pain Management

  • Pain Medicine Physician
  • Cleveland, TN
  • NPI 1972770063

  Interventional Pain Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1932399300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5617 HIGHWAY 153",
            "address_2": "SUITE 103",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434675",
            "telephone_number": "423-485-3226",
            "fax_number": "423-485-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5617 HIGHWAY 153",
            "address_2": "SUITE 103",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434675",
            "telephone_number": "423-485-3226",
            "fax_number": "423-485-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "HOMERO",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "42493",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "42493",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4195338",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1506847",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Renfroe
• Renu Chattanooga, PLLC (ReNu Chattanooga)
• Amy Marie Reynolds
• Clayton B Rhodes, O.D.
• Lauren Richardson, PA-C
• River City Counseling PC
• River City Endocrine PLLC (River City Endocrine)
• River Mountain Orthodontics PLLC
• Mary Helen Robert, LAC
• Walter Robinson

• Physical Medicine & Rehabilitation Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.

Verify at the official NPI Registry.