Active NPI
DRS Rivera Inc
- Geriatric Psychiatry Physician
- Cincinnati, OH
National Provider Identifier
1962405043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- DRS RIVERA INC
- Practice address
- 4460 Red Bank Rd
Ste 200
Cincinnati, OH 45227-2172 - Phone
- (513) 297-4070
- Fax
- (513) 297-4070
- NPI assigned
- May 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alfredo Rivera, M.D.
- Title
- President
- Phone
- (513) 297-4070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | |||
| Geriatric Psychiatry Physician | 2084P0805X | Primary |
Addresses
Primary practice location
4460 Red Bank Rd
Ste 200
Cincinnati, OH 45227-2172
Mailing address
PO Box 932347
Cleveland, OH 44193-0001
Phone (513) 891-2813
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200970290 A | Medicaid | IN | |
| CJ6438 | Other | OH | RR MEDICARE |
| 2962370 | Medicaid | OH | |
| 65937740 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
500 Farrell Dr
Covington, KY 41011
Phone (859) 331-3224
200 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-5900
5300 Saint Anne Dr
Melbourne, KY 41059
Phone (859) 781-0712
4760 Red Bank Rd
Ste 217
Cincinnati, OH 45227
Phone (513) 297-4070
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Minnetonka, MN
- NPI 1598186751
-
- Podiatrist
- South Charleston, WV
- NPI 1396857017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300838400000",
"number": "1962405043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932347",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930001",
"telephone_number": "513-891-2813",
"fax_number": "513-891-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 RED BANK RD",
"address_2": "STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452272172",
"telephone_number": "513-297-4070",
"fax_number": "513-297-4070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS RIVERA INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-23",
"last_updated": "2011-03-23",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "ALFREDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-297-4070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200970290 A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CJ6438",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2962370",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65937740",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.