Active NPI
Gabriel Adrian Rivera-Delgado, MD
- Psychiatry Physician
- Charlottesville, VA
National Provider Identifier
1972131795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- FR4158247
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200814001847 | VA | Order and Referring Only - Psychiatry | 5092131540 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FR4158247 | NY | MD | Psychiatry Physician |
Interoperability endpoints
- gabriel.rivera-delgado.1@20955.direct.athenahealth.com
- 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
- Rivanna Counseling LLC
- Rivanna Family Medicine, P.C.
- Rivanna Hearing Center LLC
- River Run Dental of Seminole Trail PLLC
- Naylee Rivera-Dejesus, BEHAVIOR TECHNICIAN
- Jonathan Michael Rivera
- Riverbend Integrative Trauma Treatment
- Riverdale Homes, Inc
- Riverhaven Community Birth Center
- Jamie Molloy Rivero, MS CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.