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JOHN KENO RIVERA
NPI 1639854516
Family Medicine in Pontiac, MI

Active since June 19, 2023PECOS Enrolled
50 N PERRY ST, PONTIAC, MI 48342(248) 338-5392 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Keno Rivera NPPES

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

JOHN KENO RIVERA (NPI 1639854516) is an individual family medicine provider in Pontiac, Michigan, licensed in Michigan (4351050735) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639854516
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN KENO RIVERA
Location Address50 N PERRY STPontiac, MI 48342-2217
Mailing Address50 N Perry StPontiac, MI 48342-2217 · (248) 338-5392
Phone(248) 338-5392
Sole ProprietorNo
Enumeration DateJune 19, 2023
NPPES CertifiedJune 19, 2023
✔ NPI 1639854516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4351050735
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
50 N PERRY ST, Pontiac, MI 48342
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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)

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

Newburyport Emergency Physicians, PLLC
631 mi
Emergency Medicine
25 HIGHLAND AVE
Newburyport, MA 01950
  • Reassigned Medicare billing, Massachusetts enrollment
  • 81 clinicians in this Medicare group
NPI 1215724364 (978) 463-1000

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 48342 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

THAMILARASI SUBRAMANIAN
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. CORY ERIC MANOOGIAN DO
Psychiatry & Neurology (Psychiatry)
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 384-8130
DR. ESSA HANNA HATTAR MD
Family Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5392
IMPACT ACO BILLING COMPANY LLC
Internal Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5516
ANDREW CHARLES ABIRAGI
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5300
MARTIN ANTONIO RIVERA
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
SHALIN R LASHKARI MSPT
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. MICHAEL CHRISTOPHER DETTLOFF D.O.
Emergency Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000

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 John Rivera's NPI number?

The NPI number for John Rivera is 1639854516. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is John Rivera located?

John Rivera practices at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5392.

What is John Rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Rivera enrolled in Medicare?

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

Which organization bills Medicare for John Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Rivera reassigns Medicare benefits to Newburyport Emergency Physicians, PLLC (Newburyport, MA). 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 John 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 John Rivera was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.