EDWIN RIVERA
NPI 1568326528
Emergency Medical Technician, Intermediate in Ladson, SC

Active since December 15, 2025PECOS Enrolled
3825 LADSON RD APT 4105, LADSON, SC 29456(843) 478-0345 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwin Rivera NPPES

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

EDWIN RIVERA (NPI 1568326528) is an individual emergency medical technician, intermediate provider in Ladson, South Carolina, licensed in South Carolina (SC025627) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568326528
Entity TypeIndividualMale
Primary Taxonomy146M00000X
Provider Legal NameEDWIN RIVERA
Location Address3825 LADSON RD APT 4105Ladson, SC 29456-4494
Mailing Address3825 Ladson Rd Apt 4105Ladson, SC 29456-4494
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 14, 2025
NPI 1568326528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
License Licensed in SC · SC025627
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
3825 LADSON RD APT 4105, Ladson, SC 29456

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edwin Rivera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032699087
PECOS Enrollment IDI20260218000379
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.

Other Providers at the Same Location NPPES

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

In Home Supportive Care
3825 LADSON RD APT 4105
LADSON, SC 29456

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 Edwin Rivera's NPI number?

The NPI number for Edwin Rivera is 1568326528. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Edwin Rivera located?

Edwin Rivera practices at 3825 Ladson Rd Apt 4105, Ladson, SC 29456. The listed phone number is (843) 478-0345.

What is Edwin Rivera's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

Is Edwin Rivera enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Edwin Rivera was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.