Individual provider Active NPI

Emmanuel Rivera, M.D.

  • Anesthesiology Physician
  • El Paso, TX
National Provider Identifier
1962508739
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J3889 Issued in TX
Practice address
5959 Gateway Blvd W
#120
El Paso, TX 79925-3331
Phone
(915) 779-1716
Fax
(915) 771-6558
NPI assigned
Sep 16, 2006
Last updated
Jul 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J3889 TX Primary

Addresses

Primary practice location

5959 Gateway Blvd W
#120
El Paso, TX 79925-3331

Mailing address

5959 Gateway Blvd W
#120
El Paso, TX 79925-3331
Phone (915) 779-1716

Other identifiers 4

IdentifierTypeStateIssuer
106307503MedicaidTX
031245601MedicaidTX
0084AGOtherTXBCBS
8V0110OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060106000167 TX Practitioner - Anesthesiology 6800819723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Human Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians
El Paso Ams PLLCGroup PAC ID 9931520970, 87 clinicians

Practice addresses (Care Compare)

1801 N Oregon St
El Paso, TX 79902-3524
Phone (915) 595-9000

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 577-8467

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J3889TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Ams, PLLC Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Las Palmas del Sol Cardiology, PLLC Past Accepting new patients
Texas Anesthesia Specialists PA Anesthesiology Past Accepting new patients

Locations

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

1801 N Oregon St
#C
El Paso, TX 79902
Phone (915) 521-1200

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1962508739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "#120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "#120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EMMANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J3889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106307503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031245601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0084AG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V0110",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.