DR. ERICA JORDAN RIDER D.O.
NPI 1629503172
Pediatrics - Pediatric Critical Care Medicine in Ann Arbor, MI

Q: What is Erica Rider's NPI number?

The NPI number for Erica Rider is 1629503172. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Q: What is Erica Rider's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Erica Rider was last updated on September 17, 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.

Active since April 21, 2017PECOS Enrolled

1500 E. MEDICAL CENTER DRIVE F6790 UH SOUTH, ANN ARBOR, MI 48109(734) 936-9704 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2020, Apr 21, 2017 (2 updates tracked since 2017).

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About Dr. Erica Jordan Rider D.o. NPPES

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

DR. ERICA JORDAN RIDER D.O. (NPI 1629503172) is an individual pediatric critical care medicine provider in Ann Arbor, Michigan, licensed in Michigan (5101025435) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629503172

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. ERICA JORDAN RIDERCredential: D.O.

Location Address1500 E. MEDICAL CENTER DRIVE F6790 UH SOUTHAnn Arbor, MI 48109-5243

Mailing Address1500 E. Medical Center Drive F6790 Uh SouthAnn Arbor, MI 48109-5243 · (734) 936-9704

Phone(734) 936-9704

Sole ProprietorNo

Enumeration DateApril 21, 2017

Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1629503172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in MI · 5101025435

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1500 E. MEDICAL CENTER DRIVE F6790 UH SOUTH, Ann Arbor, MI 48109

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Erica Jordan Rider D.o. 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 Erica Rider reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University At Buffalo Pediatric Associates Inc

251 mi

Pediatrics

1001 MAIN ST FL 4
Buffalo, NY 14203

Reassigned Medicare billing, New York enrollment
217 clinicians in this Medicare group

NPI 1912928599 (716) 323-0225

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

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 Erica Rider's NPI number?

The NPI number for Erica Rider is 1629503172. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Erica Rider located?

Erica Rider practices at 1500 E. Medical Center Drive F6790 Uh South, Ann Arbor, MI 48109. The listed phone number is (734) 936-9704.

What is Erica Rider's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Erica Rider enrolled in Medicare?

Yes. Erica Rider is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erica Rider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Rider reassigns Medicare benefits to University At Buffalo Pediatric Associates Inc (Buffalo, NY). 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 Erica Rider'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 Erica Rider was last updated on September 17, 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.