JOEL RIVERA CONCEPCION MD
NPI 1659758654
Internal Medicine - Hematology & Oncology in Raleigh, NC

Q: What is Joel Rivera Concepcion's NPI number?

The NPI number for Joel Rivera Concepcion is 1659758654. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Q: What is Joel Rivera Concepcion's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment

3404 WAKE FOREST RD, RALEIGH, NC 27609(919) 862-5400 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2023, Jul 7, 2021, Apr 9, 2021 and 1 more (4 updates tracked since 2016).

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About Joel Rivera Concepcion Md NPPES

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

JOEL RIVERA CONCEPCION MD (NPI 1659758654) is an individual hematology & oncology provider in Raleigh, North Carolina, licensed in North Carolina (2022-01781) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (2015).

NPPES Registry Identity

NPI1659758654

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameJOEL RIVERA CONCEPCIONCredential: MD

Location Address3404 WAKE FOREST RDRaleigh, NC 27609-7340

Mailing Address3404 Wake Forest RdRaleigh, NC 27609-7340 · (919) 862-5400

Phone(919) 862-5400

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2015

Enumeration DateApril 29, 2015

Last NPPES UpdateAugust 18, 20234 updates tracked since enumeration

NPPES CertifiedAugust 18, 2023

✔ NPI 1659758654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in NC · 2022-01781

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

3404 WAKE FOREST RD, Raleigh, NC 27609

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Joel Rivera Concepcion Md 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 ID244633907

PECOS Enrollment IDI20221010000476

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

Duke Health Integrated Practice, Inc

0.1 mi

Gastroenterology

3480 WAKE FOREST RD STE 500
Raleigh, NC 27609

Reassigned Medicare billing, North Carolina enrollment
3,671 clinicians in this Medicare group

NPI 1780374884 (919) 862-5075

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 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

148 services50 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

58 services16 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

41 services19 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.

27 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340155

Location3643 N Roxboro StreetDurham, NC 27704 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

CASEY JOHNSON MS OTRL

Occupational Therapist (Hand)

3404 WAKE FOREST RD, SUITE 303
RALEIGH, NC 27609

Wake County (919) 872-3171

WINDSOR AUSTIN HOLT MD

Obstetrics & Gynecology

3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609

Wake County (919) 876-8225

MELISSA JO PETERSON NP-BC

Nurse Practitioner (Family)

3404 WAKE FOREST RD
RALEIGH, NC 27609

Wake County (919) 862-5400

MRS. MEGAN KATHLEEN BLACK MSN, APRN, AGNP-C

Nurse Practitioner

3404 WAKE FOREST RD
RALEIGH, NC 27609

Wake County (919) 862-5402

SOUTHEASTERN ORTHOPEDICS SPORTS MEDICINE & SHOULDER CENTER PA

Clinic/Center (Multi-Specialty)

3404 WAKE FOREST RD, STE 201
RALEIGH, NC 27609

Wake County (919) 256-1511

DR. MICHAEL DAVID SPIRITOS M.D.

Internal Medicine (Hematology & Oncology)

3404 WAKE FOREST RD, SUITE 202
RALEIGH, NC 27609

Wake County (919) 954-3050

PRIVATE DIAGNOSTIC CLINIC, PLLC

Internal Medicine (Hematology & Oncology)

3404 WAKE FOREST RD, SUITE 100
RALEIGH, NC 27609

Wake County (919) 954-3050

PRIVATE DIAGNOSTIC CLINIC, PLLC

Surgery (Surgical Oncology)

3404 WAKE FOREST RD, SUITE 101
RALEIGH, NC 27609

Wake County (919) 954-3050

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 Joel Rivera Concepcion's NPI number?

The NPI number for Joel Rivera Concepcion is 1659758654. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Joel Rivera Concepcion located?

Joel Rivera Concepcion practices at 3404 Wake Forest Rd, Raleigh, NC 27609. The listed phone number is (919) 862-5400.

What is Joel Rivera Concepcion's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Joel Rivera Concepcion enrolled in Medicare?

Yes. Joel Rivera Concepcion 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 organization bills Medicare for Joel Rivera Concepcion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Rivera Concepcion reassigns Medicare benefits to Duke Health Integrated Practice, Inc (Raleigh, NC). 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 Joel Rivera Concepcion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Rivera Concepcion accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Joel Rivera Concepcion 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 Joel Rivera Concepcion affiliated with any hospitals?

According to CMS data, Joel Rivera Concepcion is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Joel Rivera Concepcion was last updated on August 18, 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.