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

Active since May 24, 2018PECOS Enrolled
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: October 25, 2026.

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

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 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
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
Open in Google Maps ↗

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..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mariana Hernandez Rivera Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mariana Hernandez Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medicine Associates
1.7 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

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.

TREEHOUSE THERAPIES
Speech-Language Pathologist
701 S ZARZAMORA ST
SAN ANTONIO, TX 78207
Bexar County (210) 340-2627
MOHAMMAD-ASAD BUKSH ILAHI DPM
Podiatrist
701 S ZARZAMORA ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-7717
CLAUDIA E. HURA M.D.
Internal Medicine (Nephrology)
701 S ZARZAMORA ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-7578
GHASSAN SALIM ISSA BANDAK MD
Internal Medicine (Nephrology)
701 S ZARZAMORA ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-7578
DR. SARAH BERMUDEZ PHARMD, PHC
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
701 S ZARZAMORA ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-7500
NOEL A VEGA PT, CPO
Specialist (Prosthetics Case Management)
701 S ZARZAMORA ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-7650
AHMED ZEINELABDIEN TAHA ELSHERIF MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
701 S ZARZAMORA ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-7500
BEXAR COUNTY HOSPITAL DISTRICT
Clinical Medical Laboratory
701 S ZARZAMORA ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-7037

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 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.

Where is Mariana Hernandez Rivera located?

Mariana Hernandez Rivera practices at 701 S Zarzamora St, San Antonio, TX 78207. The listed phone number is (210) 358-7000.

What is Mariana Hernandez Rivera's specialty?

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

Is Mariana Hernandez Rivera enrolled in Medicare?

Yes. Mariana Hernandez Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariana Hernandez Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariana Hernandez Rivera reassigns Medicare benefits to Community Medicine Associates (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariana Hernandez Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariana Hernandez Rivera accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Mariana Hernandez Rivera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariana Hernandez Rivera was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.