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FERNANDO H. RIVERA M.D.
NPI 1073617007
Family Medicine in Lake Station, IN

Active since September 11, 2006
2490 CENTRAL AVE, LAKE STATION, IN 46405(219) 763-8112(219) 764-3251 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fernando H. Rivera M.d. NPPES

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

FERNANDO H. RIVERA M.D. (NPI 1073617007) is an individual family medicine provider in Lake Station, Indiana, licensed in Indiana (01027425) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1073617007
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFERNANDO H. RIVERACredential: M.D.
Location Address2490 CENTRAL AVELake Station, IN 46405-2122
Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-3251
Phone(219) 763-8112
Fax(219) 764-3251
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 4, 2013
✔ NPI 1073617007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01027425
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2490 CENTRAL AVE, Lake Station, IN 46405
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Other Identifiers 3

Medicaid100142540IN
Medicare UPINE43776IN
Medicare PIN457550IN

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.

MR. DAKOTA LYNN TAYLOR MSW
Social Worker
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
REYNALDO MARTIN CALUAG MD
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
DR. AMY JANETTE MAXBERRY PHARM.D.
Pharmacist
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 962-5909
SAOUSSAN ALFAHEL MD
Pediatrics
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
MNYISEI ELAINE KAMVAZAANA NP
Nurse Practitioner (Obstetrics & Gynecology)
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
MR. KEITH MINTON RAMSEY M.D.
Obstetrics & Gynecology
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
NORTHSHORE HEALTH CENTERS
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 962-2760
DR. RONALD SAMUEL LEMON II O.D.
Optometrist
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112

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 Fernando Rivera's NPI number?

The NPI number for Fernando Rivera is 1073617007. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Fernando Rivera located?

Fernando Rivera practices at 2490 Central Ave, Lake Station, IN 46405. The listed phone number is (219) 763-8112.

What is Fernando Rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Fernando Rivera was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.