DR. MIGUEL A RIVERA M.D.
NPI 1578724746
Hospitalist in Louisville, KY
About Dr. Miguel A Rivera M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIGUEL A RIVERA M.D. (NPI 1578724746) is an individual hospitalist provider in Louisville, Kentucky, licensed in New York (313680) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Nyack Hospital, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Miguel A Rivera M.d. 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.
Medicare Billing Reassignments
13Medicare enrollment records show Miguel Rivera reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Harrisburg, PA 17109
- Reassigned Medicare billing, Pennsylvania enrollment
- 322 clinicians in this Medicare group
Ashland, PA 17921
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Norfolk, VA 23502
- Reassigned Medicare billing, Virginia enrollment
- 1,901 clinicians in this Medicare group
Orwigsburg, PA 17961
- Reassigned Medicare billing, Pennsylvania enrollment
- 953 clinicians in this Medicare group
Mullica Hill, NJ 08062
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Lukes Warren Physician Group PC
- 528 clinicians in this Medicare group
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 909 clinicians in this Medicare group
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 600 clinicians in this Medicare group
Montclair, NJ 07042
- Reassigned Medicare billing, New Jersey enrollment
- 252 clinicians in this Medicare group
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Port Emergency Medical Services PC
- 90 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyack Hospital
Acute Care Hospitals · Nyack, NYLong Island Community Hospital
Acute Care Hospitals · Patchogue, NYWellspan York Hospital
Acute Care Hospitals · York, PASt Luke's Miners Memorial Hospital
Acute Care Hospitals · Coaldale, PASt Luke's Hospital - Monroe Campus
Acute Care Hospitals · Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
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 Miguel Rivera's NPI number?
The NPI number for Miguel Rivera is 1578724746. It was assigned to this individual provider in the NPPES registry on June 20, 2008.
Where is Miguel Rivera located?
Miguel Rivera practices at 200 E Chestnut St Bldg Suite303, Louisville, KY 40202. The listed phone number is (502) 629-5552.
What is Miguel Rivera's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Miguel Rivera enrolled in Medicare?
Yes. Miguel 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.
Which organizations bill Medicare for Miguel Rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Rivera reassigns Medicare benefits to 13 organizations: Pinnacle Health Hospitalist Services LLC (Harrisburg, PA), St Luke's Physician Group Inc (Ashland, PA), Sentara Medical Group (Norfolk, VA), Gslpg, Inc (Orwigsburg, PA), Virtua Medical Group, PA (Mullica Hill, NJ) and 8 more organizations, listed in the Medicare section above. Each 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 Miguel Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Miguel Rivera accept?
Health plans from CareSource and Oscar Health list Miguel 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.
Is Miguel Rivera affiliated with any hospitals?
According to CMS data, Miguel Rivera is affiliated with Nyack Hospital, Long Island Community Hospital, Wellspan York Hospital, St Luke's Miners Memorial Hospital and St Luke's Hospital - Monroe Campus.
When was this NPI record last updated?
The NPPES record for Miguel Rivera was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Miguel A Rivera, M.D. · NPI 1578724746
Hospitalist physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since June 20, 2008.
## Identity
- **NPI:** 1578724746 (Entity type: Individual)
- **Enumerated:** June 20, 2008
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 313680 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 E CHESTNUT ST BLDG SUITE303, Louisville, KY 40202
- **Phone:** (502) 629-5552 · **Fax:** (502) 629-3132
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Pinnacle Health Hospitalist Services LLC (NPI 1023458148, Harrisburg, PA); St Luke's Physician Group Inc (NPI 1134487119, Ashland, PA); Sentara Medical Group (NPI 1265485270, Norfolk, VA); Gslpg, Inc (NPI 1366006702, Orwigsburg, PA); Virtua Medical Group, PA (NPI 1336560432, Mullica Hill, NJ); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** January 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1578724746) · Data from the CMS NPPES public registry.