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FRANCISCO XAVIER RIVERA M.D.
NPI 1528448875
Internal Medicine in Baltimore, MD

Active since June 02, 2015PECOS Enrolled
76.58/100
CMS Quality Rating
2435 W BELVEDERE AVE STE 56, BALTIMORE, MD 21215(410) 601-0594(410) 601-0939 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2025, Aug 13, 2020 (2 updates tracked since 2020).

About Francisco Xavier Rivera M.d. NPPES

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

FRANCISCO XAVIER RIVERA M.D. (NPI 1528448875) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D88683) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1528448875
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFRANCISCO XAVIER RIVERACredential: M.D.
Location Address2435 W BELVEDERE AVE STE 56Baltimore, MD 21215-5224
Mailing Address2435 W Belvedere Ave Ste 56Baltimore, MD 21215-5224 · (410) 601-0594 · Fax (410) 601-0939
Phone(410) 601-0594
Fax(410) 601-0939
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 2, 2015
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1528448875 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 MD · D88683
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2435 W BELVEDERE AVE STE 56, Baltimore, MD 21215
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 University of New Mexico, MSC11 6093Albuquerque, NM 87131 · Phone (505) 272-6225 · Fax (505) 272-5184

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Francisco Xavier Rivera M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749597664
PECOS Enrollment IDI20200608001406
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.

Medicare Billing Reassignment

Medicare enrollment records show Francisco Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sinai Hospital Of Baltimore Inc
Same address
Rheumatology
2435 W BELVEDERE AVE STE 22
Baltimore, MD 21215
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group
NPI 1124043757 (410) 601-6314

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
440 services129 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
107 services99 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.
67 services34 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.
62 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services42 patients

Hospital Affiliations CMS Care Compare

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

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21215 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.56
Promoting Interoperability100
Improvement Activities40
Cost48.54

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.

DR. NGOZI OKEKE ESSANDOH MD
Internal Medicine
2435 W BELVEDERE AVE STE 56
BALTIMORE, MD 21215
Baltimore City (410) 601-6419
JOSHUA TERRY BIRNBAUM
Internal Medicine
2435 W BELVEDERE AVE STE 56
BALTIMORE, MD 21215
Baltimore City (410) 601-6419
PARTH JAMINDAR MD
Internal Medicine
2435 W BELVEDERE AVE STE 56
BALTIMORE, MD 21215
Baltimore City (410) 601-5200
DR. BAMLAK G HAILE M.D.
Internal Medicine
2435 W BELVEDERE AVE STE 56
BALTIMORE, MD 21215
Baltimore City (410) 601-0939

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 Francisco Rivera's NPI number?

The NPI number for Francisco Rivera is 1528448875. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Francisco Rivera located?

Francisco Rivera practices at 2435 W Belvedere Ave Ste 56, Baltimore, MD 21215. The listed phone number is (410) 601-0594.

What is Francisco Rivera's specialty?

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

Is Francisco Rivera enrolled in Medicare?

Yes. Francisco Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Francisco Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Francisco Rivera reassigns Medicare benefits to Sinai Hospital Of Baltimore Inc (Baltimore, MD). 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 Francisco Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Francisco Rivera affiliated with any hospitals?

According to CMS data, Francisco Rivera is affiliated with Sinai Hospital Of Baltimore.

When was this NPI record last updated?

The NPPES record for Francisco Rivera was last updated on August 13, 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.