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CLAUDIA GISSELL RODRIGUEZ RIVERA M.D.
NPI 1336676410
Internal Medicine - Nephrology in Milwaukee, WI

Active since May 19, 2017PECOS EnrolledAccepts Medicare Assignment
3120 S 27TH ST FL 2, MILWAUKEE, WI 53215(414) 672-8282(414) 672-8284 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 30, 2022, Sep 14, 2019, Aug 4, 2017 and 1 more (4 updates tracked since 2017).

About Claudia Gissell Rodriguez Rivera M.d. NPPES

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

CLAUDIA GISSELL RODRIGUEZ RIVERA M.D. (NPI 1336676410) is an individual nephrology provider in Milwaukee, Wisconsin, licensed in Wisconsin (77208-20) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1336676410
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameCLAUDIA GISSELL RODRIGUEZ RIVERACredential: M.D.
Location Address3120 S 27TH ST FL 2Milwaukee, WI 53215-4338
Mailing Address335 E Mahn CtOak Creek, WI 53154-2155 · (414) 762-2020 · Fax (414) 762-2024
Phone(414) 672-8282
Fax(414) 672-8284
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 19, 2017
Last NPPES UpdateNovember 30, 20224 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1336676410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in WI · 77208-20
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3120 S 27TH ST FL 2, Milwaukee, WI 53215
Open in Google Maps ↗

Secondary Practice Location 1

Location 17793 W Appleton AveMilwaukee, WI 53222-2009 · Phone (414) 393-9810

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), HealthPartners and more.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

Claudia Gissell Rodriguez 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 ID2769756311
PECOS Enrollment IDI20220823004156
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 8

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 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.
602 services285 patients
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.
490 services227 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
137 services28 patients
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.
128 services91 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.
110 services102 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.
82 services67 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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

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

THERESA S BECKER APRN
Nurse Practitioner
3120 S 27TH ST FL 2
MILWAUKEE, WI 53215
Milwaukee County (414) 672-8282

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 Claudia Rodriguez Rivera's NPI number?

The NPI number for Claudia Rodriguez Rivera is 1336676410. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Claudia Rodriguez Rivera located?

Claudia Rodriguez Rivera practices at 3120 S 27th St Fl 2, Milwaukee, WI 53215. The listed phone number is (414) 672-8282.

What is Claudia Rodriguez Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Claudia Rodriguez Rivera enrolled in Medicare?

Yes. Claudia Rodriguez 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 Claudia Rodriguez Rivera accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 1 other insurer list Claudia Rodriguez 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 Claudia Rodriguez Rivera affiliated with any hospitals?

According to CMS data, Claudia Rodriguez Rivera is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Claudia Rodriguez Rivera was last updated on November 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.