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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 Enrolled
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: August 16, 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.

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
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 enrollment system.

What insurance does Edgardo Rivera-rivera accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource 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 11 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.