JAVIER RIVERA M.D
NPI 1093030470
Radiology - Diagnostic Radiology in Oakland, CA

Active since March 29, 2010PECOS EnrolledAccepts Medicare Assignment
83.13/100
CMS Quality Rating
747 52ND ST, OAKLAND, CA 94609(510) 428-3000 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Sep 12, 2025 (2 updates tracked since 2025).

About Javier Rivera M.d NPPES

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

JAVIER RIVERA M.D (NPI 1093030470) is an individual diagnostic radiology provider in Oakland, California, licensed in California (C202740) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Tonasket.

NPPES Registry Identity

NPI1093030470
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJAVIER RIVERACredential: M.D
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address7026 Old Katy Rd Ste 276Houston, TX 77024-2187 · (713) 621-7436
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 29, 2010
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1093030470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CA · C202740✔ Licensed in WA · MD61639318
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
747 52ND ST, Oakland, CA 94609

Secondary Practice Location 1

Location 1203 S Western AveTonasket, WA 98855-8803 · Phone (509) 486-2151 · Fax (509) 223-1640

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Javier Rivera 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 ID9739472770
PECOS Enrollment IDI20160727002835, I20250530001654, I20250821004200
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 Reassignments

19

Medicare enrollment records show Javier Rivera reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
Clinic/Center
2741 MIDDLEFIELD RD
Palo Alto, CA 94306
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group
Diagnostic Radiology
121 SOTOYOME ST
Santa Rosa, CA 95405
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
Diagnostic Radiology
842 E MAIN ST
Medford, OR 97504
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
Diagnostic Radiology
5455 WILSHIRE BLVD, SUITE 1120
Los Angeles, CA 90036
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
Vascular & Interventional Radiology
1400 S DOBSON RD
Mesa, AZ 85202
  • Reassigned Medicare billing, Texas enrollment
  • 145 clinicians in this Medicare group
General Acute Care Hospital
1201 S MILLER ST
Wenatchee, WA 98801
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
Diagnostic Radiology
11521 NE 128TH ST, SUITE 200
Kirkland, WA 98034
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group

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 12

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
542 services533 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
293 services289 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
127 services124 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
121 services119 patients
Ct scan of lower spine without contrast 72131
A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
89 services89 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
79 services79 patients

Hospital Affiliations CMS Care Compare 5

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

83.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.16
Improvement Activities40

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.

Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609

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 Javier Rivera's NPI number?

The NPI number for Javier Rivera is 1093030470. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Javier Rivera located?

Javier Rivera practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3000.

What is Javier Rivera's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Javier Rivera enrolled in Medicare?

Yes. Javier Rivera 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.

Which organizations bill Medicare for Javier Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Javier Rivera reassigns Medicare benefits to 19 organizations: University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), County Of Santa Clara (Palo Alto, CA), Radia California Radiology Medical Group Inc (Santa Rosa, CA), Radia Oregon Radiology Medical Group LLC (Medford, OR) and 14 more organizations, listed in the Medicare section above. Each 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 Javier Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Javier Rivera accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska and Sendero Health Plans, Local Nonprofit list Javier 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.

Is Javier Rivera affiliated with any hospitals?

According to CMS data, Javier Rivera is affiliated with Providence Regional Medical Center Everett, Providence St Peter Hospital, Swedish Medical Center / Cherry Hill, Peacehealth Southwest Medical Center and Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Javier Rivera was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.