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MARVIN RIVERA
NPI 1689381824
Physician Assistant in Arlington, TX

Active since October 27, 2022PECOS EnrolledAccepts Medicare Assignment
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012(817) 801-1503(817) 801-1508 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Jan 18, 2023, Oct 27, 2022 (3 updates tracked since 2022).

About Marvin Rivera NPPES

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

MARVIN RIVERA (NPI 1689381824) is an individual physician assistant in Arlington, Texas, licensed in Texas (PA19534) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Texas Health Arlington Memorial Hospital, and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1689381824
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARVIN RIVERA
Location Address902 W RANDOL MILL RD STE 120Arlington, TX 76012-2579
Mailing Address951 Las Palmas Entrada Ave Apt 2126Henderson, NV 89012-5631 · (469) 288-0058
Phone(817) 801-1503
Fax(817) 801-1508
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 27, 2022
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1689381824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA19534
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSurgeryTaxonomy 208600000X · License PA2761 (NV)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
902 W RANDOL MILL RD STE 120, Arlington, TX 76012
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Secondary Practice Location 1

Location 12850 W Horizon Ridge Pkwy Ste 100Henderson, NV 89052-4395 · Phone (702) 313-8446

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marvin Rivera 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 ID5092188722
PECOS Enrollment IDI20230228002872, I20251031004034
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.

Hospital Affiliations CMS Care Compare

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

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450064
Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76012 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VENKAT RAGHAV RAPURI M.D.
Orthopaedic Surgery
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
MAREK JASZCZUK PA-C
Physician Assistant
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
DREW NATHANIEL STAL M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
GARY BREGMAN PA
Physician Assistant (Surgical)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
VIBIN THOMAS KURIAKOSE PA
Physician Assistant (Surgical)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
CRAIG M PEEK PA-C
Physician Assistant (Surgical)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
VANESSA J SCOTT PA-C
Physician Assistant (Surgical)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503
AMY CARRILLO ALI PA
Physician Assistant (Surgical)
902 W RANDOL MILL RD STE 120
ARLINGTON, TX 76012
Tarrant County (817) 801-1503

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 Marvin Rivera's NPI number?

The NPI number for Marvin Rivera is 1689381824. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Marvin Rivera located?

Marvin Rivera practices at 902 W Randol Mill Rd Ste 120, Arlington, TX 76012. The listed phone number is (817) 801-1503.

What is Marvin Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marvin Rivera enrolled in Medicare?

Yes. Marvin 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.

Is Marvin Rivera affiliated with any hospitals?

According to CMS data, Marvin Rivera is affiliated with Texas Health Arlington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Marvin Rivera was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.