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MR. CARLOS E RIVERA MD
NPI 1356459630
Internal Medicine - Endocrinology, Diabetes & Metabolism in Miami, FL

Active since August 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0945325 · Waiver
8260 W FLAGLER ST, STE 1H, MIAMI, FL 33144(305) 220-5191(877) 795-5172 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, Jul 30, 2020, Aug 19, 2016 (3 updates tracked since 2016).

About Mr. Carlos E Rivera Md NPPES

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

MR. CARLOS E RIVERA MD (NPI 1356459630) is an individual endocrinology, diabetes & metabolism provider in Miami, Florida, licensed in Florida (ME0053431) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 28, 2028, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1356459630
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMR. CARLOS E RIVERACredential: MD
Location Address8260 W FLAGLER ST, STE 1HMiami, FL 33144-2069
Mailing Address8260 W Flagler St Ste 1hMiami, FL 33144-2069 · (305) 220-5191 · Fax (877) 795-5172
Phone(305) 220-5191
Fax(877) 795-5172
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 28, 2006
Last NPPES UpdateSeptember 24, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1356459630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME0053431
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
8260 W FLAGLER ST, Miami, FL 33144
Open in Google Maps ↗

Other Identifiers 1

Medicaid037589600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Mr. Carlos E 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 ID1759553910
PECOS Enrollment IDI20111012000107
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0945325

Carlos E Rivera MD · Miami, FL
Active · expires Apr 28, 2028
CLIA Number10D0945325
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorCarlos E. Rivera
Laboratory Phone(305) 220-5191
Laboratory LocationCarlos E Rivera MD8260 West Flagler Street Suite 1H, Miami, FL 33144
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
156 services97 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.
112 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33144 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
2 suppliers34 claims68 services$0.45 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
39 suppliers230 claims756 services$6.57 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers82 claims82 services$2.94 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
3 suppliers27 claims27 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
29 suppliers157 claims296 services$1.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers155 claims156 services$199.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

VIMED CENTER INC
General Practice
8260 W FLAGLER ST, SUITE 2I
MIAMI, FL 33144
Miami-Dade County (305) 559-2224
MED LIFE MEDICAL SERVICES INC
Community/Behavioral Health
8260 W FLAGLER ST, SUITE 2-M
MIAMI, FL 33144
Miami-Dade County (786) 534-2584
AIMER LEON
Massage Therapist
8260 W FLAGLER ST
MIAMI, FL 33144
Miami-Dade County (305) 227-3883
DR. YAMILE B PORRO MD
Family Medicine (Adult Medicine)
8260 W FLAGLER ST, SUITE 2-M
MIAMI, FL 33144
Miami-Dade County (305) 559-4599
C&A REHABILITATION CENTER INC
Clinic/Center (Rehabilitation)
8260 W FLAGLER ST, SUITE 1-A
MIAMI, FL 33144
Miami-Dade County (305) 392-1292
PHYSICIANS COMPLETE CENTER, INC
General Practice
8260 W FLAGLER ST, STE 2K
MIAMI, FL 33144
Miami-Dade County (305) 456-3897
UNLIMITED LIFE CARE CENTER INC
General Practice
8260 W FLAGLER ST, 2A
MIAMI, FL 33144
Miami-Dade County (305) 226-8577
FRANCISCO M. DELGADO ALVARADO MD PA
General Practice
8260 W FLAGLER ST, SUITE 1-J
MIAMI, FL 33144
Miami-Dade County (305) 223-2464

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 Carlos Rivera's NPI number?

The NPI number for Carlos Rivera is 1356459630. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Carlos Rivera located?

Carlos Rivera practices at 8260 W Flagler St Ste 1H, Miami, FL 33144. The listed phone number is (305) 220-5191.

What is Carlos Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Carlos Rivera enrolled in Medicare?

Yes. Carlos 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.

Does Carlos Rivera hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0945325) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carlos Rivera accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Carlos 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.

When was this NPI record last updated?

The NPPES record for Carlos Rivera was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.