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MARCELO R. RIVERA MD, INC.
NPI 1114105780
Specialist in Ramona, CA

Active since February 06, 2008
1516 MAIN ST, #104, RAMONA, CA 92065(760) 789-6044(760) 789-3852 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marcelo R. Rivera Md, Inc. NPPES

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

MARCELO R. RIVERA MD, INC. (NPI 1114105780) is a healthcare organization registered as a specialist in Ramona, California and active in the NPI registry since February 2008. The organization lists Marcelo R Rivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1114105780
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARCELO R. RIVERA MD, INC.
Location Address1516 MAIN ST, #104Ramona, CA 92065-5242
Mailing Address1516 Main St, #104Ramona, CA 92065-5242 · (760) 789-6044 · Fax (760) 789-3852
Phone(760) 789-6044
Fax(760) 789-3852
Organization SubpartNo
Authorized OfficialMarcelo R RiveraOwner · (858) 613-8743
Enumeration DateFebruary 6, 2008
✔ NPI 1114105780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G39240
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.
1516 MAIN ST, Ramona, CA 92065
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Other Identifiers 2

Medicare UPINAU7749CA
Medicare PIN1643418CA

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)

Marcelo R. Rivera Md, Inc. 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 Marcelo R. Rivera MD, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Marcelo Rivera, M.D.
Internal Medicine
NPI 1942311311
15644 POMERADO RD #300
Poway, CA 92064
(858) 613-8743
✔ PECOS✔ Accepts Medicare11 mi

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

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 Marcelo R. Rivera MD, Inc.'s NPI number?

The NPI number for Marcelo R. Rivera MD, Inc. is 1114105780. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Marcelo R. Rivera MD, Inc. located?

Marcelo R. Rivera MD, Inc. is located at 1516 Main St #104, Ramona, CA 92065. The listed phone number is (760) 789-6044.

What is Marcelo R. Rivera MD, Inc.'s specialty?

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

Is Marcelo R. Rivera MD, Inc. enrolled in Medicare?

Yes. Marcelo R. Rivera MD, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marcelo R. Rivera MD, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Marcelo R. Rivera MD, Inc.. 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.

When was this NPI record last updated?

The NPPES record for Marcelo R. Rivera MD, Inc. was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.