Individual provider Active NPI

Gabriel Adrian Rivera-Delgado, MD

  • Psychiatry Physician
  • Charlottesville, VA
National Provider Identifier
1972131795
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
FR4158247 Issued in NY
Practice address
1215 Lee St
Charlottesville, VA 22908-0816
Phone
(434) 924-5314
Fax
(434) 243-4743
NPI assigned
Mar 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X FR4158247 NY Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-0816

Mailing address

150 Broadway RM 502
New York, NY 10038-4380
Phone (845) 808-9899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200814001847 VA Order and Referring Only - PsychiatryPractitioner - Psychiatry 5092131540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FR4158247NYMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: gabriel.rivera-delgado.1@20955.direct.athenahealth.com
  • Direct secure messaging: lifestancehealth.gabrielriveradelgado@142175.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1972131795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BROADWAY RM 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384380",
            "telephone_number": "845-808-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-924-5314",
            "fax_number": "434-243-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-DELGADO",
        "first_name": "GABRIEL",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "FR4158247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.