MR. MANUEL RIVERA PA-C
NPI 1023616307
Physician Assistant in Hartford, CT

Q: What is Manuel Rivera's NPI number?

The NPI number for Manuel Rivera is 1023616307. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Q: What is Manuel Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Manuel Rivera was last updated on December 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 09, 2020PECOS Enrolled

21 GRAND ST, HARTFORD, CT 06106(860) 550-7500 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2021, Oct 9, 2020 (2 updates tracked since 2020).

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About Mr. Manuel Rivera Pa-c NPPES

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

MR. MANUEL RIVERA PA-C (NPI 1023616307) is an individual physician assistant in Hartford, Connecticut, licensed in Connecticut (5467) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023616307

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MANUEL RIVERACredential: PA-C

Location Address21 GRAND STHartford, CT 06106-1541

Mailing Address60 4th StMeriden, CT 06451-4009 · (203) 715-4290

Phone(860) 550-7500

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 9, 2020

Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration

NPPES CertifiedDecember 23, 2021

✔ NPI 1023616307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CT · 5467

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

21 GRAND ST, Hartford, CT 06106

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Manuel Rivera Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355733270

PECOS Enrollment IDI20260527000114

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.