MANUEL A. RIVERA M.D.
NPI 1184690133
Internal Medicine in Kenosha, WI

Q: What is Manuel Rivera's NPI number?

The NPI number for Manuel Rivera is 1184690133. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is Manuel Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Manuel Rivera was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 28, 2006PECOS Enrolled

4536 22ND AVE, KENOSHA, WI 53140(262) 656-0044(262) 653-2218 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Manuel A. Rivera M.d. NPPES

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

MANUEL A. RIVERA M.D. (NPI 1184690133) is an individual internal medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (26699) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Two Rivers, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1983).

NPPES Registry Identity

NPI1184690133

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMANUEL A. RIVERACredential: M.D.

Location Address4536 22ND AVEKenosha, WI 53140-5917

Mailing Address4006 Washington RdKenosha, WI 53144-4819 · (262) 656-0044 · Fax (262) 653-2218

Phone(262) 656-0044

Fax(262) 653-2218

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1983

Enumeration DateFebruary 28, 2006

Last NPPES UpdateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1184690133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 26699

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License H0762 (TX)

4536 22ND AVE, Kenosha, WI 53140

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Secondary Practice Location 1

Location 15000 Memorial DrTwo Rivers, WI 54241-3900 · Phone (920) 794-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel A. Rivera M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749251874

PECOS Enrollment IDI20060217000556

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 Reassignments

Medicare enrollment records show Manuel Rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kenosha Community Health Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

4536 22ND AVE
Kenosha, WI 53140

Reassigned Medicare billing, Wisconsin enrollment
24 clinicians in this Medicare group

NPI 1265435960 (262) 656-0044

Moundview Memorial Hospital & Clinics, Inc.

123 mi

Rural Health

207 N PIONEER PARK RD, UNIT 8
Westfield, WI 53964

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1710939533 (Wisconsin)
280 clinicians in this Medicare group

NPI 1861829194 (608) 296-6350

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53140 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

DR. CESAR D GONZALEZ DDS

Dentist (Pediatric Dentistry)