DR. STEFANNY SANTANA RIVERA MD
NPI 1104446020
Family Medicine in Union, KY

Q: What is Stefanny Santana Rivera's NPI number?

The NPI number for Stefanny Santana Rivera is 1104446020. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Q: What is Stefanny Santana Rivera's specialty?

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

Active since April 21, 2020PECOS EnrolledAccepts Medicare Assignment

605 MAN O WAR BOULEVARD, UNION, KY 41091(859) 578-5333 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2026, Jun 1, 2023, Apr 21, 2020 (3 updates tracked since 2020).

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About Dr. Stefanny Santana Rivera Md NPPES

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

DR. STEFANNY SANTANA RIVERA MD (NPI 1104446020) is an individual family medicine provider in Union, Kentucky, licensed in Kentucky (61226) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1104446020

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. STEFANNY SANTANA RIVERACredential: MD

Location Address605 MAN O WAR BOULEVARDUnion, KY 41091-2007

Mailing AddressP.o. Box 635283Cincinnati, OH 45263-5283 · (859) 344-5555 · Fax (859) 344-5552

Phone(859) 578-5333

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 21, 2020

Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1104446020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in KY · 61226✔ Licensed in OH · 35.148517

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.

605 MAN O WAR BOULEVARD, Union, KY 41091

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Secondary Practice Location 1

Location 17642 Reading RdCincinnati, OH 45237-3204 · Phone (513) 619-7766 · Fax (513) 810-4400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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. Stefanny Santana Rivera 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.

PECOS PAC ID5597122580

PECOS Enrollment IDI20251205001840

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 Reassignment

Medicare enrollment records show Stefanny Santana Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, Inc

3.0 mi

Psychiatry

1360 DOLWICK DRIVE
Erlanger, KY 41018

Reassigned Medicare billing, Kentucky enrollment
946 clinicians in this Medicare group

NPI 1508287640 (859) 344-5555

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

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180045

Location4900 Houston RoadFlorence, KY 41042 · Boone County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41091 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 7

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

SUMMIT MEDICAL GROUP, INC.

Podiatrist (Foot & Ankle Surgery)