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DR. MIRIAM L RIVERA IRIZARRY M.D.
NPI 1356304828
Internal Medicine in Kissimmee, FL

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
339 CYPRESS PKWY STE 110, KISSIMMEE, FL 34759(407) 343-5000(407) 343-5199 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2019, Oct 30, 2018 (2 updates tracked since 2018).

About Dr. Miriam L Rivera Irizarry M.d. NPPES

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

DR. MIRIAM L RIVERA IRIZARRY M.D. (NPI 1356304828) is an individual internal medicine provider in Kissimmee, Florida, licensed in Florida (ACN 295) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1356304828
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MIRIAM L RIVERA IRIZARRYCredential: M.D.
Location Address339 CYPRESS PKWY STE 110Kissimmee, FL 34759-3315
Mailing AddressPo Box 582170Kissimmee, FL 34758-0027 · (407) 343-5000 · Fax (407) 343-5199
Phone(407) 343-5000
Fax(407) 343-5199
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateApril 7, 2006
Last NPPES UpdateDecember 5, 20192 updates tracked since enumeration
✔ NPI 1356304828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ACN 295✔ Licensed in PR · 11914
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.
339 CYPRESS PKWY STE 110, Kissimmee, FL 34759
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Other Identifiers 11

Other1101838PR · Acaa
OtherMRI211PR · Menonita
Other2968PR · International Medical Car
Other3280PR · American Health
Other373955068PR · Prosam
Medicaid002357600FL
Other88490PR · Triple S
Other060075PR · Cruz Azul
Other212462PR · Preferred Health
Other0400684PR · Humana Health Plans
Other400294PR · Medicare Y Mucho Mas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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

Dr. Miriam L Rivera Irizarry 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 ID7517907918
PECOS Enrollment IDI20090429000181
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 9

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.
207 services55 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.
55 services35 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
34 services30 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.
25 services25 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
20 services20 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Hca Florida Poinciana Hospital

Acute Care Hospitals · Kissimmee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100320
Location325 Cypress PkwyKissimmee, FL 34758 · Osceola County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34759 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%26 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

CPERAGLIE MD PLLC
Colon & Rectal Surgery
339 CYPRESS PKWY STE 110
KISSIMMEE, FL 34759
Osceola County (407) 922-3424
INTEGRATIVE CANCER CLINICS OF FLORIDA INC
Clinic/Center (Oncology)
339 CYPRESS PKWY STE 110
KISSIMMEE, FL 34759
Osceola County (407) 576-7762
ST PETER MEDICAL GROUP INC.
Clinic/Center (Primary Care)
339 CYPRESS PKWY STE 110
KISSIMMEE, FL 34759
Osceola County (407) 922-0240
PHYSICIAN NEXT DOOR
Health Maintenance Organization
339 CYPRESS PKWY STE 110
KISSIMMEE, FL 34759
Osceola County (407) 343-0542

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 Miriam Rivera Irizarry's NPI number?

The NPI number for Miriam Rivera Irizarry is 1356304828. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Miriam Rivera Irizarry located?

Miriam Rivera Irizarry practices at 339 Cypress Pkwy Ste 110, Kissimmee, FL 34759. The listed phone number is (407) 343-5000.

What is Miriam Rivera Irizarry's specialty?

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

Is Miriam Rivera Irizarry enrolled in Medicare?

Yes. Miriam Rivera Irizarry 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 Miriam Rivera Irizarry accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 3 other insurers list Miriam Rivera Irizarry 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 Miriam Rivera Irizarry affiliated with any hospitals?

According to CMS data, Miriam Rivera Irizarry is affiliated with Adventhealth Orlando and Hca Florida Poinciana Hospital.

When was this NPI record last updated?

The NPPES record for Miriam Rivera Irizarry was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.