Individual provider Active NPI

Henry Osso-Rivera, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Katy, TX
National Provider Identifier
1942557863
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
R6068 Issued in TX
Practice address
23410 Grand Reserve Dr Ste 1102
Katy, TX 77494-4984
Phone
(346) 387-6568
Fax
(346) 387-6549
NPI assigned
Aug 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X 2130 WI
Epilepsy Physician 2084E0001X R6068 TX
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2130 WI
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X R6068 TX Primary

Addresses

Primary practice location

23410 Grand Reserve Dr Ste 1102
Katy, TX 77494-4984

Mailing address

8402 Fulshear Run Trce
Richmond, TX 77406-2540

Other practice location 1

18200 Katy Fwy
Houston, TX 77094-1285
Phone (713) 594-0677

Other practice location 2

130 2nd St
Neenah, WI 54956-2883
Phone (920) 729-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, WI, FL, NY, VA, WV7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20201013001206 TX Practitioner - NeurologyPractitioner - Pediatric Medicine 5991125981 Reassigns benefits to 3 organizations
I20220930002201 IL Practitioner - Neurology 5991125981 Reassigns benefits to 1 organization
I20221110002622 WI Practitioner - Neurology 5991125981 Reassigns benefits to 2 organizations
I20221205003308 FL Practitioner - Neurology 5991125981 Reassigns benefits to 1 organization
I20230222000887 NY Practitioner - Neurology 5991125981 Reassigns benefits to 3 organizations
I20230605000131 VA Practitioner - Neurology 5991125981 Reassigns benefits to 1 organization
I20240315000775 WV Practitioner - Neurology 5991125981

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pediatric Medicine
Education
University Central del Caribe Escuela de Medicina, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1311 Shillington Dr
Katy, TX 77450-4339
Phone (309) 308-9692

200 E Pennsylvania Ave
Peoria, IL 61603-3089
Phone (309) 624-4000

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2130WIMDChiropractor
319448NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital Inc CurrentSince Feb 17, 2024 Accepting new patients
Geneva General Hospital, Inc CurrentSince Jan 1, 2023 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Crouse Health Hospital, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Geneva General Hospital CurrentSince Jan 1, 2023 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Freeport Memorial Hospital CurrentSince Nov 7, 2023 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jun 1, 2024 Accepting new patients
Wheeling Hospital Inc CurrentSince Mar 29, 2024 Accepting new patients
Nchmd, Inc CurrentSince Nov 29, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 1, 2022 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
The Brain District, PLLC Epilepsy CurrentSince May 1, 2022 Accepting new patients
Texas Children'S Physician Group CurrentSince Oct 2, 2020 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jun 1, 2024 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Nchmd Inc CurrentSince Nov 29, 2022 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jun 1, 2023 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jun 1, 2023 Accepting new patients
Freeport Memorial Hospital PastSince Jun 16, 2024 Accepting new patients

Locations

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

200 E Pennsylvania Ave
Peoria, IL 61603
Phone (309) 624-4000

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

196 North St
Geneva, NY 14456
Phone (315) 787-4156

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003

18200 Katy Fwy
Houston, TX 77094
Phone (832) 227-1000

23410 Grand Reserve Dr
Ste 1102
Katy, TX 77494
Phone (346) 387-6568

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

725 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-7995

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: henry.osso-rivera.1@26316.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26316/brand/1/csg/1/fhir/r4

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1942557863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 FULSHEAR RUN TRCE",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23410 GRAND RESERVE DR STE 1102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944984",
            "telephone_number": "346-387-6568",
            "fax_number": "346-387-6549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18200 Katy Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770941285",
            "country_code": "US",
            "telephone_number": "713-594-0677",
            "fax_number": "305-669-6531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 2nd St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562883",
            "country_code": "US",
            "telephone_number": "920-729-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSSO-RIVERA",
        "first_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "WI",
            "license": "2130",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "TX",
            "license": "R6068",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WI",
            "license": "2130",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "R6068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.