DR. MIGUEL A RIVERA M.D.
NPI 1578724746
Hospitalist in Louisville, KY

Q: 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.

Q: What is Miguel Rivera's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: 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 6 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.

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment

95.38/100

CMS Quality Rating

200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202(502) 629-5552(502) 629-3132 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Dec 16, 2025, Dec 4, 2024 and 6 more (9 updates tracked since 2019).

On this page

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 Capital Health Medical Center - Hopewell, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1578724746

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. MIGUEL A RIVERACredential: M.D.

Location Address200 E CHESTNUT ST BLDG SUITE303Louisville, KY 40202

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330

Phone(502) 629-5552

Fax(502) 629-3132

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 20, 2008

Last NPPES UpdateJanuary 16, 20269 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1578724746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in NY · 313680✔ Licensed in KY · 51987✔ Licensed in CT · 79066

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD453213 (PA), 51987 (KY), 25MA08958100 (NJ)

200 E CHESTNUT ST BLDG SUITE303, Louisville, KY 40202

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1111 S Front StHarrisburg, PA 17101-2010 · Phone (717) 231-8772

Location 280 Seymour St Bldg 502Hartford, CT 06102-8000 · Phone (860) 972-0549

Location 31945 Route 33Neptune, NJ 07753-4859 · Phone (732) 775-5500

Location 4175 Madison AveMount Holly, NJ 08060 · Phone (609) 914-6000

Location 51001 S George StYork, PA 17403-3676 · Phone (717) 851-4005 · Fax (717) 812-2495

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

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.

PECOS PAC ID1254504848

PECOS Enrollment IDI20111026000583, I20211223000548, I20230103002500

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.

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.

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.

376 services370 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.

43 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310044

LocationOne Capital WayPennington, NJ 08534 · Mercer County

Emergency services Birthing friendly

Nyack Hospital

Acute Care Hospitals · Nyack, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330104

Location160 North Midland AvenueNyack, NY 10960 · Rockland County

Birthing friendly

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330141

Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County

Emergency services

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390330

Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County

Emergency services

Physician 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.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

95.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.26

Promoting Interoperability

99.17

Improvement Activities

Leave this field empty

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.

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