DR. JOSE DAVID RIVERA-JIMENEZ MD NPI 1013165141

Internal Medicine (Cardiovascular Disease) in Sebastian, FL

NPI 1013165141 Individual Male Years of Experience 16 Internal Medicine Cardiovascular Disease PECOS Enrolled Accepts Medicare Approved Payment

About JOSE RIVERA-JIMENEZ

Jose Rivera-jimenez is an internal medicine provider established in Sebastian, Florida and his medical specialization is internal medicine (cardiovascular disease) with more than 16 years of experience. The NPI number of Jose Rivera-jimenez is 1013165141 and was assigned on September 2008. The practitioner's primary taxonomy code is 207RC0000X with license number ME128230 (FL). The provider is registered as an individual and his NPI record was last updated 5 years ago.

An internist like Dr. Jose David Rivera-jimenez Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Jose Rivera-jimenez is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jose Rivera-jimenez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Steward Sebastian River Medical Center and Cleveland Clinic Indian River Hospital.

NPI

1013165141

Provider NameDR. JOSE DAVID RIVERA-JIMENEZ MD
Provider Location Address7754 BAY ST SUITE 6&7 SEBASTIAN, FL 32958
Provider Mailing Address7754 BAY ST SUITE 6&7 SEBASTIAN, FL 32958
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-03-2008
Last Update Date07-29-2016


Primary Taxonomy

Taxonomy Code207RC0000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationCardiovascular Disease
License No.ME128230
License StateFL
Taxonomy DescriptionAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Business Address

DR. JOSE DAVID RIVERA-JIMENEZ MD
7754 BAY ST
SUITE 6&7
SEBASTIAN, FL
ZIP 32958
Phone: (772) 589-3000
Fax: (772) 589-3003

Get Directions


Mailing Address

DR. JOSE DAVID RIVERA-JIMENEZ MD
7754 BAY ST
SUITE 6&7
SEBASTIAN, FL
ZIP 32958
Phone: (772) 589-3000
Fax: (772) 589-3003



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7214186972
PECOS Enrollment IDI20160907000728
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jose Rivera-jimenez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
STEWARD SEBASTIAN RIVER MEDICAL CENTER13695 US HWY 1
SEBASTIAN, FL 32978
(772) 589-3187Acute Care Hospitals100217
CLEVELAND CLINIC INDIAN RIVER HOSPITAL1000 36TH ST
VERO BEACH, FL 32960
(772) 567-4311Acute Care Hospitals100105

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine18396PRNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineME128230FLNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538174297 FARHAT JAVED KHAWAJA M.D.
Individual
Internal Medicine (Cardiovascular Disease)7754 BAY ST SUITE 7
SEBASTIAN, FL 32958
(772) 589-3000
1093918146FARHAT J KHAWAJA MEDICAL ASSOCIATES , PA
Organization
Internal Medicine (Cardiovascular Disease)7754 BAY ST SUITE 7
SEBASTIAN, FL 32958
(772) 589-3000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.