DR. JOSE ANTONIO RIVERO SUTIL DMD
NPI 1417212937
Dentist - Dentist Anesthesiologist in Bronx, NY
About Dr. Jose Antonio Rivero Sutil Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOSE ANTONIO RIVERO SUTIL DMD (NPI 1417212937) is an individual dentist anesthesiologist in Bronx, New York, licensed in New York (060222) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jose Antonio Rivero Sutil Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jose Rivero Sutil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10457
- Reassigned Medicare billing, New York enrollment
- 16 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10457 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.
BRONX, NY 10457
BRONX, NY 10457
BRONX, NY 10457
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 Jose Rivero Sutil's NPI number?
The NPI number for Jose Rivero Sutil is 1417212937. It was assigned to this individual provider in the NPPES registry on July 10, 2012.
Where is Jose Rivero Sutil located?
Jose Rivero Sutil practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-3730.
What is Jose Rivero Sutil's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.
Is Jose Rivero Sutil enrolled in Medicare?
Yes. Jose Rivero Sutil is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jose Rivero Sutil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Rivero Sutil reassigns Medicare benefits to St. Barnabas Hospital (Bronx, NY). The 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 Jose Rivero Sutil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jose Rivero Sutil was last updated on January 31, 2020. 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.
# Dr. Jose Antonio Rivero Sutil, DMD · NPI 1417212937
Dentist Anesthesiologist provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since July 10, 2012.
## Identity
- **NPI:** 1417212937 (Entity type: Individual)
- **Enumerated:** July 10, 2012
- **Primary specialty:** Dentist - Dentist Anesthesiologist · taxonomy 1223D0004X
- **State license:** 060222 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4422 3RD AVE, Bronx, NY 10457-2545
- **Phone:** (718) 960-3730
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Barnabas Hospital (NPI 1477228971, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1417212937) · Data from the CMS NPPES public registry.