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DR. LUIS GARCIA RIVERA M.D.
NPI 1164539870
General Practice in Lakeland, FL

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
5425 S FLORIDA AVE, LAKELAND, FL 33813(863) 644-3585(863) 644-3171 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Luis Garcia Rivera M.d. NPPES

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

DR. LUIS GARCIA RIVERA M.D. (NPI 1164539870) is an individual general practice provider in Lakeland, Florida, licensed in Puerto Rico (13253) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1164539870
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. LUIS GARCIA RIVERACredential: M.D.
Location Address5425 S FLORIDA AVELakeland, FL 33813
Mailing Address1955 Wind Meadows DrBartow, FL 33830-2937 · (787) 215-8576
Phone(863) 644-3585
Fax(863) 644-3171
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 4, 2015
✔ NPI 1164539870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 13253
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5425 S FLORIDA AVE, Lakeland, FL 33813
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Other Identifiers 2

Medicare UPINH55618PR
Medicare ID-Type Unspecified90262PR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Luis Garcia Rivera M.d. 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 ID6800924986
PECOS Enrollment IDI20150325001322
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 Luis Garcia Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Internal Medicine Care, PA
Same address
Internal Medicine
5455 S FLORIDA AVE
Lakeland, FL 33813
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group
NPI 1811130339 (863) 644-3585

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims3,225 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$21.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. DARIO FERNANDO CARDONA M.D.
Internal Medicine
5425 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-3585
DR. LEIDEN EZEQUIEL GONZALEZ PIMENTEL M.D.
General Practice
5425 S FLORIDA AVE
LAKELAND, FL 33813
Polk County (863) 644-3585

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 Luis Garcia Rivera's NPI number?

The NPI number for Luis Garcia Rivera is 1164539870. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Luis Garcia Rivera located?

Luis Garcia Rivera practices at 5425 S Florida Ave, Lakeland, FL 33813. The listed phone number is (863) 644-3585.

What is Luis Garcia Rivera's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Luis Garcia Rivera enrolled in Medicare?

Yes. Luis Garcia Rivera 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 organization bills Medicare for Luis Garcia Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Garcia Rivera reassigns Medicare benefits to Advanced Internal Medicine Care, PA (Lakeland, FL). 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 Luis Garcia Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Garcia Rivera accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Luis Garcia Rivera 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 Luis Garcia Rivera was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.