RAFAEL E CABAN RIVERA
NPI 1093060949
Emergency Medicine in Bronx, NY

Active since July 17, 2012PECOS Enrolled
1400 PELHAM PKWY S, BUILDING 6//SUITE B125, BRONX, NY 10461(718) 918-5000 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2019, Aug 8, 2016 (2 updates tracked since 2016).

About Rafael E Caban Rivera NPPES

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

RAFAEL E CABAN RIVERA (NPI 1093060949) is an individual emergency medicine provider in Bronx, New York, licensed in New York (283622) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093060949
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRAFAEL E CABAN RIVERA
Location Address1400 PELHAM PKWY S, BUILDING 6//SUITE B125Bronx, NY 10461-1138
Mailing Address328 E 94th St, Apt 1aNew York, NY 10128-5662
Sole ProprietorNo
Enumeration DateJuly 17, 2012
Last NPPES UpdateJune 3, 20192 updates tracked since enumeration
✔ NPI 1093060949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 283622
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1400 PELHAM PKWY S, Bronx, NY 10461

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael E Caban Rivera 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.

Medicare Billing Reassignments

8

Medicare enrollment records show Rafael Caban Rivera reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 201 clinicians in this Medicare group
General Acute Care Hospital
1 GUTHRIE DRIVE
Corning, NY 14830
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group
Internal Medicine
15 S MAIN ST
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
Emergency Medicine
180 PARKWOOD DR
Elkin, NC 28621
  • Reassigned Medicare billing, North Carolina enrollment
  • 96 clinicians in this Medicare group
Emergency Medicine
300 W 27TH ST
Lumberton, NC 28358
  • Reassigned Medicare billing, North Carolina enrollment
  • 119 clinicians in this Medicare group
Critical Access
425 7TH ST NW
Cass Lake, MN 56633
  • Reassigned Medicare billing, Texas enrollment
  • 98 clinicians in this Medicare group
Family Medicine
10 MILES NE OF SR264 MP362, ROCKY RIDGE SCHOOL STREET
Kykotsmovi, AZ 86039
  • Reassigned Medicare billing, Texas enrollment
  • 540 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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Anesthesiology
1400 PELHAM PKWY S
BRONX, NY 10461

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 Rafael Caban Rivera's NPI number?

The NPI number for Rafael Caban Rivera is 1093060949. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Rafael Caban Rivera located?

Rafael Caban Rivera practices at 1400 Pelham Pkwy S Building 6//Suite B125, Bronx, NY 10461. The listed phone number is (718) 918-5000.

What is Rafael Caban Rivera's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Rafael Caban Rivera enrolled in Medicare?

Yes. Rafael Caban Rivera is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rafael Caban Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Caban Rivera reassigns Medicare benefits to 8 organizations: Montefiore Medical Center (Bronx, NY), Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY), Corning Hospital (Corning, NY), Great Lakes Physician Practice PC (Jamestown, NY), Yadkin Emergency Physicians, PLLC (Elkin, NC) and 3 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 Rafael Caban Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rafael Caban Rivera was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.