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JOSE FRANCISCO HERNANDEZ RIVERA MD
NPI 1790124972
Pediatrics - Pediatric Critical Care Medicine in Birmingham, AL

Active since June 20, 2013PECOS Enrolled
78.18/100
CMS Quality Rating
1600 7TH AVE S, BIRMINGHAM, AL 35233(205) 638-9100 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2025, Mar 24, 2020 (2 updates tracked since 2020).

About Jose Francisco Hernandez Rivera Md NPPES

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

JOSE FRANCISCO HERNANDEZ RIVERA MD (NPI 1790124972) is an individual pediatric critical care medicine provider in Birmingham, Alabama, licensed in Alabama (MD.51136) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790124972
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameJOSE FRANCISCO HERNANDEZ RIVERACredential: MD
Location Address1600 7TH AVE SBirmingham, AL 35233-1711
Mailing Address1600 7th Ave SBirmingham, AL 35233-1711 · (205) 638-5343 · Fax (205) 638-9056
Phone(205) 638-9100
Sole ProprietorNo
Enumeration DateJune 20, 2013
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1790124972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in AL · MD.51136
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
1600 7TH AVE S, Birmingham, AL 35233
Open in Google Maps ↗

Other Names 1

Other Name (5)Jose Rivera Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee 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 (PECOS)

Jose Francisco Hernandez Rivera Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jose Hernandez Rivera reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Nemours Foundation
374 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600
Florida Clinical Practice Association Inc
374 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
Florida Hospital Medical Group Inc
470 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

MRS. APRIL HOOPER WEATHERLY CRNP
Nurse Practitioner (Acute Care)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 939-9175
ROBERT PATRICK RICHTER M.D.
Pediatrics (Pediatric Critical Care Medicine)
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9100
MS. CARLY RAE HAWKINS CRNP
Nurse Practitioner
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9285
DR. MARY ORR M.D.
Hospitalist
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9100
MRS. LAURA NIEMANN OTR/L
Rehabilitation Unit
1600 7TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9565
AMY URBAN CRNP
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, LOWDER BLDG., SUITE 618
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9918
STEPHANIE BERGER MD
Pediatrics
1600 7TH AVE S, MCWANE BUILDING SUITE 108
BIRMINGHAM, AL 35233
Jefferson County (205) 638-2904
SULA MCELROY GILLESPIE CRNP
Nurse Practitioner (Pediatrics)
1600 7TH AVE S, CHILDRENS OF ALABAMA
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9144

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 Jose Hernandez Rivera's NPI number?

The NPI number for Jose Hernandez Rivera is 1790124972. It was assigned to this individual provider in the NPPES registry on June 20, 2013. The provider is also known as Jose Rivera MD.

Where is Jose Hernandez Rivera located?

Jose Hernandez Rivera practices at 1600 7th Ave S, Birmingham, AL 35233. The listed phone number is (205) 638-9100.

What is Jose Hernandez Rivera's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jose Hernandez Rivera enrolled in Medicare?

Yes. Jose Hernandez Rivera is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Hernandez Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Hernandez Rivera reassigns Medicare benefits to 3 organizations: The Nemours Foundation (Jacksonville, FL), Florida Clinical Practice Association Inc (Gainesville, FL) and Florida Hospital Medical Group Inc (Orlando, FL). 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 Jose Hernandez Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Hernandez Rivera accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Cigna HealthCare of Florida, Inc. and 1 other insurer list Jose Hernandez 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 Jose Hernandez Rivera was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.