Carlos A Rivera, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

34456 Issued in GA

Practice address

7505 Waters Ave
Ste C8
Savannah, GA 31406-3825

Phone

(912) 352-2606

Fax

(912) 352-0623

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Outpatient Imaging Services LLC

  • Diagnostic Radiology Physician
  • Bluffton, SC
  • NPI 1528719275
  NPD Authorized official
• Neurological Associates of the South, LLC

  • Specialist
  • Waycross, GA
  • NPI 1174578553
  NPD (past) Authorized official
• Pet Imaging Center of Savannah LLC

  • Body Imaging Physician
  • Savannah, GA
  • NPI 1750376208
  NPD (past)
• Jacksonville Beaches Medical Imaging Inc

  • Radiology Clinic/Center
  • Jacksonville, FL
  • NPI 1548257041
  NPD (past)
• Jacksonville Beaches Medical Imaging Inc

  • Radiology Clinic/Center
  • Jacksonville, FL
  • NPI 1568459055
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1942294848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "STE C8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "912-352-2606",
            "fax_number": "912-352-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "STE C8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "912-352-2606",
            "fax_number": "912-352-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "34456",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "34456",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "GA",
            "license": "34456",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "GA",
            "license": "34456",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "GA",
            "license": "34456",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "GA",
            "license": "34456",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "34456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00469169A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G34456",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "024372",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher H. Rittmeyer, MD
• Chloe Donaldson Rivalsky, MS, RD
• Kiana Rivas
• Javier Rivera-Reyes
• Aritza Vanessa C Rivera
• Dominic Rivera, MSN, APRN, AGACNP-BC
• Milagros Rivera, MD
• Santos Rivera III, PTA
• Rivers Home Care Service, LLC.
• Octavia Rivers, CNA

• Diagnostic Radiology Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.