MS. CARMEN M RIVERA M.D. - NPI 1053578195 - Pediatrics in Glendale, AZ

Q: What is Carmen Rivera's NPI number?

The NPI number for Carmen Rivera is 1053578195. It was assigned to this individual provider in the NPPES registry on May 16, 2008.

Q: What is Carmen Rivera's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Carmen Rivera was last updated on August 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Carmen M Rivera M.d. NPPES

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

MS. CARMEN M RIVERA M.D. (NPI 1053578195) is an individual pediatrics provider in Glendale, Arizona, licensed in Arizona (51216) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053578195

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMS. CARMEN M RIVERACredential: M.D.

Location Address7734 N 59TH AVEGlendale, AZ 85301-7816

Mailing Address1533 E Willetta StPhoenix, AZ 85006-2935 · (602) 569-3999 · Fax (602) 569-3887

Phone(602) 569-3999

Fax(602) 569-3887

Sole ProprietorNo

Enumeration DateMay 16, 2008

Last NPPES UpdateAugust 23, 20192 updates tracked since enumeration

✔ NPI 1053578195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 51216

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7734 N 59TH AVE, Glendale, AZ 85301

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Other Identifiers 1

Medicaid78331AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Carmen M Rivera M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85301 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 14

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

SAM FAULKNER SHUMWAY PA

Physician Assistant