DR. MARIANA HERNANDEZ RIVERA MD
NPI 1013408152
Internal Medicine in San Antonio, TX

Q: What is Mariana Hernandez Rivera's NPI number?

The NPI number for Mariana Hernandez Rivera is 1013408152. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Q: What is Mariana Hernandez Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 24, 2018PECOS EnrolledAccepts Medicare Assignment

89.92/100

CMS Quality Rating

701 S ZARZAMORA ST, SAN ANTONIO, TX 78207(210) 358-7000(210) 358-7474 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2024, May 24, 2018 (2 updates tracked since 2018).

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About Dr. Mariana Hernandez Rivera Md NPPES

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

DR. MARIANA HERNANDEZ RIVERA MD (NPI 1013408152) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (T3634) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with University Health System, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1013408152

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARIANA HERNANDEZ RIVERACredential: MD

Location Address701 S ZARZAMORA STSan Antonio, TX 78207-5209

Mailing Address1500 S Fairfield AveChicago, IL 60608-1782 · (773) 257-5077

Phone(210) 358-7000

Fax(210) 358-7474

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 24, 2018

Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration

NPPES CertifiedNovember 15, 2024

✔ NPI 1013408152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TX · T3634✔ Licensed in IL · 125.071738

Definition

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.

701 S ZARZAMORA ST, San Antonio, TX 78207

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Secondary Practice Location 1

Location 11500 S Fairfield AveChicago, IL 60608-1782 · Phone (773) 257-5077

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.Insurance ›

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. Mariana Hernandez Rivera Md 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 ID6103216163

PECOS Enrollment IDI20211206001916

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 2

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 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.

97 services71 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.39

Promoting Interoperability

100

Improvement Activities

Cost

62.89

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.

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