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DR. RAFAEL JOSE ROLON RIVERA MD
NPI 1316233661
Internal Medicine in Indianapolis, IN

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment
1701 SENATE BLVD, INDIANAPOLIS, IN 46202(317) 962-8776 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 5, 2023, Mar 15, 2023, Aug 26, 2022 and 4 more (7 updates tracked since 2016).

About Dr. Rafael Jose Rolon Rivera Md NPPES

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

DR. RAFAEL JOSE ROLON RIVERA MD (NPI 1316233661) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01079857A) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1316233661
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAFAEL JOSE ROLON RIVERACredential: MD
Location Address1701 SENATE BLVDIndianapolis, IN 46202-1239
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 962-8776
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 24, 2011
Last NPPES UpdateOctober 5, 20237 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1316233661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 01079857A✔ Licensed in PR · 18717✔ Licensed in AZ · 49217✔ Licensed in TN · 54192
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 ListedHospitalistTaxonomy 208M00000X · License 49127 (AZ), ME130170 (FL)
1701 SENATE BLVD, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Locations 5

Location 16644 E Baywood Ave, Banner Baywood Medical CenterMesa, AZ 85206 · Phone (480) 321-3900 · Fax (480) 321-3840
Location 213001 Southern BlvdLoxahatchee, FL 33470-9203 · Phone (561) 798-3300
Location 386 W Underwood StOrlando, FL 32806-1110 · Phone (888) 912-3648 · Fax (321) 841-4085
Location 41000 4th St SWMason City, IA 50401-2800 · Phone (641) 428-7000
Location 52651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 353-9515 · Fax (812) 353-9275

Other Identifiers 2

Medicaid020020500FL
Other068010839IN · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael Jose Rolon 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 ID1456570738
PECOS Enrollment IDI20220825000730
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services48 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

IRENE A CARROTHERS M.D.
Internal Medicine
1701 SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 963-8776
LISA M OLDHAM
Physical Therapist
1701 SENATE BLVD, SUITE AG045
INDIANAPOLIS, IN 46202
Marion County (317) 962-4836
KAREN L. BUMB MD
Anesthesiology
1701 SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 567-2180
KATHLEEN T MICHAUD
Physical Therapist
1701 SENATE BLVD, SUITE AG045
INDIANAPOLIS, IN 46202
Marion County (317) 962-4836
ELI C FERENC LOPES
Physical Therapist
1701 SENATE BLVD, SUITE AG045
INDIANAPOLIS, IN 46202
Marion County (317) 962-4836
CHRISTOPHER A COLE MD
Anesthesiology
1701 SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 567-2180
HENRY C KIM MD
Anesthesiology
1701 SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 567-2180
JENNA LOVEDAY DO
Internal Medicine
1701 SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8776

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 Rafael Rolon Rivera's NPI number?

The NPI number for Rafael Rolon Rivera is 1316233661. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Rafael Rolon Rivera located?

Rafael Rolon Rivera practices at 1701 Senate Blvd, Indianapolis, IN 46202. The listed phone number is (317) 962-8776.

What is Rafael Rolon Rivera's specialty?

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

Is Rafael Rolon Rivera enrolled in Medicare?

Yes. Rafael Rolon 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.

What insurance does Rafael Rolon Rivera accept?

Health plans from CareSource, Medica and Oscar Insurance Company list Rafael Rolon 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.

Is Rafael Rolon Rivera affiliated with any hospitals?

According to CMS data, Rafael Rolon Rivera is affiliated with Indiana University Health Bloomington Hospital and Indiana University Health.

When was this NPI record last updated?

The NPPES record for Rafael Rolon Rivera was last updated on October 5, 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.