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DR. RAFAEL RIVERA M.D.
NPI 1609831593
Radiology - Diagnostic Radiology in New York, NY

Active since April 20, 2006PECOS Enrolled
560 1ST AVE, NEW YORK, NY 10016(212) 263-0050 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Rafael Rivera M.d. NPPES

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

DR. RAFAEL RIVERA M.D. (NPI 1609831593) is an individual diagnostic radiology provider in New York, New York, licensed in New York (204241) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609831593
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RAFAEL RIVERACredential: M.D.
Location Address560 1ST AVENew York, NY 10016-6402
Mailing Address561 10th AveNew York, NY 10036-3059 · (212) 263-0050
Phone(212) 263-0050
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1609831593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 204241
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
560 1ST AVE, New York, NY 10016
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Other Identifiers 3

Medicare ID-Type Unspecified520S31NY
Medicaid02177351NY
Medicare UPINH51421NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Rafael Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,039 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MASASHI ROTTE M.D.
Emergency Medicine
560 1ST AVE
NEW YORK, NY 10016
New York County (215) 955-6844
LINDSEY E WALL NP
Nurse Practitioner (Women's Health)
560 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5640
DR. MAJ L WICKSTROM M.D.
Radiology (Diagnostic Radiology)
560 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-0050
MRS. IRENE RICHMAN
Nurse Practitioner (Adult Health)
560 1ST AVE, 11 EAST NURSING STATION
NEW YORK, NY 10016
New York County (212) 263-7300
DEANNA STEFFENS R.PH, MS
General Acute Care Hospital
560 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-2094
MRS. SVETLANA PAVLOVNA BUYNITSKY
Nurse Practitioner (Adult Health)
560 1ST AVE
NEW YORK, NY 10016
New York County (917) 841-1271
MARK S. LIFSHITZ MD
Pathology (Blood Banking & Transfusion Medicine)
560 1ST AVE, TH-374
NEW YORK, NY 10016
New York County (212) 263-5445
SHARDA MCGUIRE FNP
Nurse Practitioner (Acute Care)
560 1ST AVE, HCC 11
NEW YORK, NY 10016
New York County (347) 213-9076

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 Rafael Rivera's NPI number?

The NPI number for Rafael Rivera is 1609831593. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Rafael Rivera located?

Rafael Rivera practices at 560 1st Ave, New York, NY 10016. The listed phone number is (212) 263-0050.

What is Rafael Rivera's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Rafael Rivera enrolled in Medicare?

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

Which organization bills Medicare for Rafael Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Rivera reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Rafael Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rafael Rivera was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.