DEJARRA RIVERA MD
NPI 1669008546
Psychiatry & Neurology - Neurology in Charlotte, NC
About Dejarra Rivera Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEJARRA RIVERA MD (NPI 1669008546) is an individual neurology provider in Charlotte, North Carolina, licensed in North Carolina (2025-00771) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dejarra Rivera 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dejarra Rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center-Northeast
Acute Care Hospitals · Concord, NCAtrium Health Cleveland
Acute Care Hospitals · Shelby, NCAtrium Health Pineville
Acute Care Hospitals · Charlotte, NCCarolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCAtrium Health Union
Acute Care Hospitals · Monroe, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dejarra Rivera's NPI number?
The NPI number for Dejarra Rivera is 1669008546. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Dejarra Rivera located?
Dejarra Rivera practices at 1225 Harding Pl Ste 4200, Charlotte, NC 28204. The listed phone number is (704) 446-1900.
What is Dejarra Rivera's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Dejarra Rivera enrolled in Medicare?
Yes. Dejarra Rivera 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 organizations bill Medicare for Dejarra Rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dejarra Rivera reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and Carolinas Medical Center (Charlotte, NC). Each 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 Dejarra Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dejarra Rivera accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and BlueCross BlueShield of South Carolina and 3 other insurers list Dejarra Rivera 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 Dejarra Rivera affiliated with any hospitals?
According to CMS data, Dejarra Rivera is affiliated with Carolinas Medical Center-Northeast, Atrium Health Cleveland, Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health Union.
When was this NPI record last updated?
The NPPES record for Dejarra Rivera was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dejarra Rivera, MD · NPI 1669008546
Neurology physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1669008546 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 2025-00771 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 HARDING PL STE 4200, Charlotte, NC 28204-2826
- **Phone:** (704) 446-1900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1396928230, Charlotte, NC); Carolinas Medical Center (NPI 1699979732, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669008546) · Data from the CMS NPPES public registry.