DR. JOSE DAVID PONCE RIOS M.D.
NPI 1154556496
Pediatrics - Pediatric Emergency Medicine in Lowell, MA
About Dr. Jose David Ponce Rios M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOSE DAVID PONCE RIOS M.D. (NPI 1154556496) is an individual pediatric emergency medicine provider in Lowell, Massachusetts, licensed in Massachusetts (251391) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jose David Ponce Rios M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jose Ponce Rios reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lowell, MA 01854
- Reassigned Medicare billing, Massachusetts enrollment
- 49 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.
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 20
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 Jose Ponce Rios's NPI number?
The NPI number for Jose Ponce Rios is 1154556496. It was assigned to this individual provider in the NPPES registry on May 15, 2009.
Where is Jose Ponce Rios located?
Jose Ponce Rios practices at 295 Varnum Ave, Lowell, MA 01854. The listed phone number is (978) 937-6000.
What is Jose Ponce Rios's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Jose Ponce Rios enrolled in Medicare?
Yes. Jose Ponce Rios is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jose Ponce Rios's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Ponce Rios reassigns Medicare benefits to Merrimack Valley Emergency Associates, Inc. (Lowell, MA). The 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 Jose Ponce Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jose Ponce Rios accept?
Health plans from Taro Health list Jose Ponce Rios 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 Jose Ponce Rios was last updated on March 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Dr. Jose David Ponce Rios, M.D. · NPI 1154556496
Pediatric Emergency Medicine physician in Lowell, Massachusetts. Individual provider, active in the CMS NPPES registry since May 15, 2009.
## Identity
- **NPI:** 1154556496 (Entity type: Individual)
- **Enumerated:** May 15, 2009
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 251391 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 295 VARNUM AVE, Lowell, MA 01854-2134
- **Phone:** (978) 937-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Merrimack Valley Emergency Associates, Inc. (NPI 1821280959, Lowell, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2026
- **Other identifiers:** Medicaid 874417 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1154556496) · Data from the CMS NPPES public registry.