DR. RAFAEL JOSE ROLON RIVERA MD
NPI 1316233661
Internal Medicine in Indianapolis, IN
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
Specialties & Licenses 2
Secondary Practice Locations 5
Other Identifiers 2
Accepted 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. 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.
Medicare Billing Reassignments
8Medicare enrollment records show Rafael Rolon Rivera reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 737 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Bloomington, IN 47408
- Reassigned Medicare billing, Indiana enrollment
- 783 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- 1,304 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 492 clinicians in this Medicare group
Palm Coast, FL 32164
- Reassigned Medicare billing, Florida enrollment
- 300 clinicians in this Medicare group
Orlando, FL 32806
- Reassigned Medicare billing, Florida enrollment
- 3,290 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 861 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.
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.
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, INIndiana University Health
Acute Care Hospitals · Indianapolis, INPhysician 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.
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 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.
Which organizations bill Medicare for Rafael Rolon Rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Rolon Rivera reassigns Medicare benefits to 8 organizations: University Family Physicians, Inc. (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN), Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Saint Thomas Medical Partners (Nashville, TN), Hni Medical Services Of Florida, LLC (Jacksonville, FL) and 3 more organizations, listed in the Medicare section above. Each 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 Rafael Rolon Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rafael Rolon Rivera accept?
Health plans from CareSource, Oscar Health 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.
# Dr. Rafael Jose Rolon Rivera, MD · NPI 1316233661
Internal Medicine physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since June 24, 2011.
## Identity
- **NPI:** 1316233661 (Entity type: Individual)
- **Enumerated:** June 24, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 01079857A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1701 SENATE BLVD, Indianapolis, IN 46202-1239
- **Phone:** (317) 962-8776
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): University Family Physicians, Inc. (NPI 1043275787, Indianapolis, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); Indiana University Health Southern Indiana Physicians, LLC (NPI 1013953983, Bloomington, IN); Saint Thomas Medical Partners (NPI 1437194669, Nashville, TN); Hni Medical Services Of Florida, LLC (NPI 1679048284, Jacksonville, FL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 5, 2023
- **Other identifiers:** Medicaid 020020500 (FL); Other 068010839 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1316233661) · Data from the CMS NPPES public registry.