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DR. EDGARDO D RIVERA-RIVERA M.D.
NPI 1710151303
Pediatrics - Pediatric Gastroenterology in Fort Wayne, IN

Active since April 15, 2008PECOS EnrolledAccepts Medicare Assignment
11123 PARKVIEW PLAZA DR STE 200, FORT WAYNE, IN 46845(260) 425-6100(260) 425-6105 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, Jan 4, 2023, Dec 30, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Edgardo D Rivera-rivera M.d. NPPES

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

DR. EDGARDO D RIVERA-RIVERA M.D. (NPI 1710151303) is an individual pediatric gastroenterology provider in Fort Wayne, Indiana, licensed in Indiana (01081050A) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ponce School Of Medicine (2008).

NPPES Registry Identity

NPI1710151303
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. EDGARDO D RIVERA-RIVERACredential: M.D.
Location Address11123 PARKVIEW PLAZA DR STE 200Fort Wayne, IN 46845-1707
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 425-6100
Fax(260) 425-6105
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 2008
Enumeration DateApril 15, 2008
Last NPPES UpdateSeptember 3, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1710151303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in IN · 01081050A
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
11123 PARKVIEW PLAZA DR STE 200, Fort Wayne, IN 46845
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13900 Washington Ave # 100Evansville, IN 47714-0550 · Phone (812) 485-6694
Location 21611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 243-3166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Edgardo D Rivera-rivera M.d. 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 ID1759694615
PECOS Enrollment IDI20181102001310
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 Reassignments

2

Medicare enrollment records show Edgardo Rivera-rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Parkview Health System, Inc.
Same address
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR STE 101
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1720190002 (260) 425-6650
St Vincent Pediatric Subspecialties
105 mi
Pediatrics
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1013967736 (317) 338-2273

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 46845 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 8

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

VIMAL JAYSWAL MD
Pediatrics (Pediatric Cardiology)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
ALDA E. TAUBE
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
DR. WILLIAM A LOE JR. M.D.
Surgery (Pediatric Surgery)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
PAUL T. STOCKMANN M.D.
Surgery (Pediatric Surgery)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
DENISE A GILHAM NP.
Nurse Practitioner
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
ELAINE BUCHMEIER RD, LD
Dietitian, Registered
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
SAMUEL THOMAS BOSTON M.D.
Pediatrics (Pediatric Gastroenterology)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100
ROBYN D SCHMUCKER M.D.
Pediatrics (Pediatric Infectious Diseases)
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845
Allen County (260) 425-6100

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 Edgardo Rivera-rivera's NPI number?

The NPI number for Edgardo Rivera-rivera is 1710151303. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Edgardo Rivera-rivera located?

Edgardo Rivera-rivera practices at 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845. The listed phone number is (260) 425-6100.

What is Edgardo Rivera-rivera's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Edgardo Rivera-rivera enrolled in Medicare?

Yes. Edgardo Rivera-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 Edgardo Rivera-rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgardo Rivera-rivera reassigns Medicare benefits to 2 organizations: Parkview Health System, Inc. (Fort Wayne, IN) and St Vincent Pediatric Subspecialties (Indianapolis, IN). 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 Edgardo Rivera-rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgardo Rivera-rivera accept?

Health plans from Anthem Blue Cross and Blue Shield list Edgardo Rivera-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.

When was this NPI record last updated?

The NPPES record for Edgardo Rivera-rivera was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.