DR. LUIS GABRIEL RIVERA SANCHEZ M.D.
NPI 1003221094
Surgery - Surgical Oncology in New York, NY

Active since June 27, 2014PECOS EnrolledAccepts Medicare Assignment
325 W 15TH ST, NEW YORK, NY 10011(212) 604-6000(212) 367-1718 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2023, Jul 13, 2022, May 20, 2022 (3 updates tracked since 2022).

About Dr. Luis Gabriel Rivera Sanchez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUIS GABRIEL RIVERA SANCHEZ M.D. (NPI 1003221094) is an individual surgical oncology provider in New York, New York, licensed in New York (316762) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Ponce School Of Medicine (2014).

NPPES Registry Identity

NPI1003221094
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. LUIS GABRIEL RIVERA SANCHEZCredential: M.D.
Location Address325 W 15TH STNew York, NY 10011-5903
Mailing Address150 E 42nd St Fl 10New York, NY 10017-5612 · (646) 605-8119
Fax(212) 367-1718
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 2014
Enumeration DateJune 27, 2014
Last NPPES UpdateApril 10, 20233 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
NPI 1003221094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in NY · 316762
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 473289 (PA)
325 W 15TH ST, New York, NY 10011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Luis Gabriel Rivera Sanchez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436531803
PECOS Enrollment IDI20220801003300
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
139 services121 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
325 W 15TH ST
NEW YORK, NY 10011
Internal Medicine (Hospice and Palliative Medicine)
325 W 15TH ST
NEW YORK, NY 10011
Social Worker (Clinical)
325 W 15TH ST
NEW YORK, NY 10011
Internal Medicine (Medical Oncology)
325 W 15TH ST
NEW YORK, NY 10011
Social Worker
325 W 15TH ST
NEW YORK, NY 10011
Internal Medicine (Hematology & Oncology)
325 W 15TH ST
NEW YORK, NY 10011
Internal Medicine (Medical Oncology)
325 W 15TH ST
NEW YORK, NY 10011
Radiology (Diagnostic Radiology)
325 W 15TH ST
NEW YORK, NY 10011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Rivera Sanchez's NPI number?

The NPI number for Luis Rivera Sanchez is 1003221094. It was assigned to this individual provider in the NPPES registry on June 27, 2014.

Where is Luis Rivera Sanchez located?

Luis Rivera Sanchez practices at 325 W 15th St, New York, NY 10011. The listed phone number is (212) 604-6000.

What is Luis Rivera Sanchez's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Luis Rivera Sanchez enrolled in Medicare?

Yes. Luis Rivera Sanchez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Luis Rivera Sanchez affiliated with any hospitals?

According to CMS data, Luis Rivera Sanchez is affiliated with Mount Sinai Hospital and Mount Sinai Beth Israel.

When was this NPI record last updated?

The NPPES record for Luis Rivera Sanchez was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.