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MS. RACHEL RIVERA MD
NPI 1437359346
Internal Medicine in Dallas, TX

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
99.13/100
CMS Quality Rating
4922 SPRING AVE, DALLAS, TX 75210(214) 421-7848 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2024, Nov 30, 2022, May 2, 2022 and 1 more (4 updates tracked since 2016).

About Ms. Rachel Rivera Md NPPES

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

MS. RACHEL RIVERA MD (NPI 1437359346) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (N6616) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2007).

NPPES Registry Identity

NPI1437359346
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. RACHEL RIVERACredential: MD
Location Address4922 SPRING AVEDallas, TX 75210-1359
Mailing Address3900 Junius St Ste 300Dallas, TX 75246-1602 · (214) 421-7848 · Fax (214) 421-1119
Phone(214) 421-7848
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2007
Enumeration DateJuly 19, 2007
Last NPPES UpdateApril 15, 20244 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1437359346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N6616
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License N6616 (TX)
4922 SPRING AVE, Dallas, TX 75210
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Other Identifiers 1

Medicaid314366102TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Ms. Rachel 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 ID8820247380
PECOS Enrollment IDI20120927000621
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75210 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

99.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.84
Promoting Interoperability98
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 7

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

DR. OREGON JAI MCDIARMID MD
Family Medicine
4922 SPRING AVE
DALLAS, TX 75210
Dallas County (214) 421-7848
GRACE NYATENYA AGNP
Clinical Nurse Specialist (Adult Health)
4922 SPRING AVE
DALLAS, TX 75210
Dallas County (214) 421-7848
ERIKA LYSANDRA MARTINEZ LPC ASSOCIATE
Counselor (Professional)
4922 SPRING AVE
DALLAS, TX 75210
Dallas County (214) 421-7848
ROBERT DOUGLAS HARDY MD
Internal Medicine (Infectious Disease)
4922 SPRING AVE
DALLAS, TX 75210
Dallas County (214) 421-4191
MS. MARY ROFF MCLAUD FNP
Nurse Practitioner (Family)
4922 SPRING AVE
DALLAS, TX 75210
Dallas County (214) 421-7848
AIDS ARMS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4922 SPRING AVE
DALLAS, TX 75210
Dallas County (214) 421-7488
DR. CHARMEKA LIPSCOMB RN, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4922 SPRING AVE
DALLAS, TX 75210
Dallas County (214) 421-7848

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 Rachel Rivera's NPI number?

The NPI number for Rachel Rivera is 1437359346. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Rachel Rivera located?

Rachel Rivera practices at 4922 Spring Ave, Dallas, TX 75210. The listed phone number is (214) 421-7848.

What is Rachel Rivera's specialty?

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

Is Rachel Rivera enrolled in Medicare?

Yes. Rachel 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 Rachel Rivera accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Rachel 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 Rachel Rivera was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.