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RIVERSIDE MEDICAL CENTER
NPI 1093884439
Specialist in Cocoa, FL

Active since November 07, 2006CLIA 10D1083204 · Waiver
863 N COCOA BLVD, COCOA, FL 32922(321) 264-2345(321) 735-8882 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2017, Jun 8, 2017 (2 updates tracked since 2017).

About Riverside Medical Center NPPES

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

RIVERSIDE MEDICAL CENTER (NPI 1093884439) is a healthcare organization registered as a specialist in Cocoa, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Janet E Miley, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093884439
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRIVERSIDE MEDICAL CENTER, PA
Location Address863 N COCOA BLVDCocoa, FL 32922-7510
Mailing Address3206 S Hopkins Ave, Suite 87Titusville, FL 32780-5667 · (321) 264-2345 · Fax (321) 735-8882
Phone(321) 264-2345
Fax(321) 735-8882
Organization SubpartNo
Authorized OfficialJanet E MileyMedical Director · (321) 264-2345
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 3, 20172 updates tracked since enumeration
✔ NPI 1093884439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 207RC0200X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
863 N COCOA BLVD, Cocoa, FL 32922
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Other Names 1

Doing Business AsRiverside Medical Center

Other Identifiers 5

Medicare ID-Type UnspecifiedE6294FL
Other7276274FL · Aetna Insurance
Other03280FL · Bcbs Insurance
Other7883229001FL · Cigna Insurance
Medicare UPINH49134FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Riverside Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Janet Miley, M.D.
Internal Medicine
NPI 1518189299
863 N COCOA BLVD
Cocoa, FL 32922
(321) 264-2345
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1083204

Riverside Medical Center · Cocoa, FL
Active · expires Apr 28, 2028
CLIA Number10D1083204
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorJanet E. Miley
Laboratory Phone(321) 264-2345
Laboratory LocationRiverside Medical Center863 N Cocoa Blvd, Cocoa, FL 32922
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Riverside Medical Center, PA's NPI number?

The NPI number for Riverside Medical Center, PA is 1093884439. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Riverside Medical Center.

Where is Riverside Medical Center, PA located?

Riverside Medical Center, PA is located at 863 N Cocoa Blvd, Cocoa, FL 32922. The listed phone number is (321) 264-2345.

What is Riverside Medical Center, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Riverside Medical Center, PA enrolled in Medicare?

Yes. Riverside Medical Center, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riverside Medical Center, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Riverside Medical Center, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Riverside Medical Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1083204) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Medical Center, PA was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.