JOSE RAMON RIVAS RIOS M.D.
NPI 1063944346
Internal Medicine - Cardiovascular Disease in Jacksonville, FL

Q: What is Jose Rivas Rios's NPI number?

The NPI number for Jose Rivas Rios is 1063944346. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Q: What is Jose Rivas Rios's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Rivas Rios was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment

81.9/100

CMS Quality Rating

653-1 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-3140(904) 244-4771 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Apr 7, 2021, Oct 18, 2019 and 2 more (5 updates tracked since 2017).

On this page

About Jose Ramon Rivas Rios M.d. NPPES

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

JOSE RAMON RIVAS RIOS M.D. (NPI 1063944346) is an individual cardiovascular disease provider in Jacksonville, Florida, licensed in Florida (TRN24271) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1063944346

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJOSE RAMON RIVAS RIOSCredential: M.D.

Location Address653-1 W 8TH STJacksonville, FL 32209-6511

Mailing Address653 W 8th St # L18Jacksonville, FL 32209-6511 · (904) 383-1003 · Fax (904) 244-7388

Phone(904) 244-3140

Fax(904) 244-4771

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 28, 2017

Last NPPES UpdateMarch 15, 20235 updates tracked since enumeration

NPPES CertifiedMarch 15, 2023

✔ NPI 1063944346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in FL · TRN24271

Definition

An 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.

Also ListedInternal MedicineTaxonomy 207R00000X · License TRN24271 (FL)

653-1 W 8TH ST, Jacksonville, FL 32209

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Other Identifiers 1

OtherTRN24271FL · Florida Training License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Jose Ramon Rivas Rios M.d. 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 ID4880967009

PECOS Enrollment IDI20230525001553, I20240112002471

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 18

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

200 services199 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

105 services104 patients

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 services79 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

53 services52 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

48 services48 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

48 services48 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

48 services47 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

46 services45 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

45 services38 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

36 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services28 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services18 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services14 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

16 services12 patients

Nuclear medicine study of heart muscle at rest and with stress and spect 78451

A nuclear medicine study of the heart muscle, both at rest and under stress, along with SPECT, helps assess heart health. A safe radioactive substance is injected, which the heart absorbs. Then, a special camera captures images of the heart. This procedure can detect heart disease or other issues.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110146

Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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.

81.9/100

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

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

100

Improvement Activities

Cost

59.59

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.

DR. MICHAEL CALVIN CANTRELL MD

Surgery

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 383-1015

DR. ZOHAIB AHMED DMD

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3689

DR. JONATHON CURTIS EDGY MD

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3056

RAINA ANIL MODI

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-8846

ERIC XAVIER SANTIAGO VEGA

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (727) 241-9974

ALEXANDER BLACK

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-0411

DR. RICHARD GAMMILL DO

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-8846

JARED DOWDY MD

Obstetrics & Gynecology

653-1 W 8TH ST, BOX L-17
JACKSONVILLE, FL 32209

Duval County (904) 383-1037

TINA TRAN

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3662

DR. LEON NICHOLAS PLOWRIGHT MD

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-2061

NICOLE ALEXANDER

Obstetrics & Gynecology

653-1 W 8TH ST, 4TH FLOOR, LRC BOX L15
JACKSONVILLE, FL 32209

Duval County (904) 244-3140

ANIKA MOFFITT DDS

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-2000

DAMIAN ALVARADO DDS

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-2000

DR. SASHA GOURGUE M.D

Obstetrics & Gynecology (Obstetrics)

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-6656

ROXANA ROMINA PREIS MD

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3112

DR. YUDAI ISHIYAMA MD

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-0411

ERIC MICHAEL RESS DMD

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3662

DR. KEITH-ALLEN LICYAYO MELONG MD

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-0441

ZACHARY TYLER-LEE GALLATIN MD

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-3112

DR. ANDREW NGO DMD

Student in an Organized Health Care Education/Training Program

653-1 W 8TH ST
JACKSONVILLE, FL 32209

Duval County (904) 244-2000

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 Jose Rivas Rios's NPI number?

The NPI number for Jose Rivas Rios is 1063944346. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Jose Rivas Rios located?

Jose Rivas Rios practices at 653-1 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-3140.

What is Jose Rivas Rios's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jose Rivas Rios enrolled in Medicare?

Yes. Jose Rivas Rios is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jose Rivas Rios accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Jose Rivas Rios 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.

Is Jose Rivas Rios affiliated with any hospitals?

According to CMS data, Jose Rivas Rios is affiliated with Shands Jacksonville and Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Jose Rivas Rios was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.