DR. PEDRO M RIVERA-VELAZQUEZ MD
NPI 1093807869
Legal Medicine in Clinton, MD
About Dr. Pedro M Rivera-velazquez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PEDRO M RIVERA-VELAZQUEZ MD (NPI 1093807869) is an individual legal medicine provider in Clinton, Maryland, licensed in Maryland (D0054514) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. Pedro M Rivera-velazquez Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Pedro Rivera-velazquez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton, MD 20735
- Reassigned Medicare billing, District of Columbia enrollment
- 6 clinicians in this Medicare group
Rockville, MD 20850
- Reassigned Medicare billing, District of Columbia enrollment
- 3 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 15
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.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pedro Rivera-velazquez's NPI number?
The NPI number for Pedro Rivera-velazquez is 1093807869. It was assigned to this individual provider in the NPPES registry on September 29, 2006.
Where is Pedro Rivera-velazquez located?
Pedro Rivera-velazquez practices at 9131 Piscataway Rd Ste 450, Clinton, MD 20735. The listed phone number is (301) 868-6700.
What is Pedro Rivera-velazquez's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
Is Pedro Rivera-velazquez enrolled in Medicare?
Yes. Pedro Rivera-velazquez 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 Pedro Rivera-velazquez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Rivera-velazquez reassigns Medicare benefits to 2 organizations: Telahun, Shrader & Rivera, MD (Clinton, MD) and Toufic S. Melki,ms,md,pa (Rockville, MD). 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 Pedro Rivera-velazquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pedro Rivera-velazquez accept?
Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Pedro Rivera-velazquez 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.
When was this NPI record last updated?
The NPPES record for Pedro Rivera-velazquez was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.