NILDA COLON-RIVERA MD
NPI 1801985270
Family Medicine in Houston, TX
About Nilda Colon-rivera Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NILDA COLON-RIVERA MD (NPI 1801985270) is an individual family medicine provider in Houston, Texas, licensed in Texas (J0395) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 2
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
Nilda Colon-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 Reassignment
Medicare enrollment records show Nilda Colon-rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harris Health System
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 15
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 Nilda Colon-rivera's NPI number?
The NPI number for Nilda Colon-rivera is 1801985270. It was assigned to this individual provider in the NPPES registry on October 12, 2006.
Where is Nilda Colon-rivera located?
Nilda Colon-rivera practices at 3550 Swingle Rd, Houston, TX 77047. The listed phone number is (713) 547-1000.
What is Nilda Colon-rivera's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nilda Colon-rivera enrolled in Medicare?
Yes. Nilda Colon-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 organization bills Medicare for Nilda Colon-rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nilda Colon-rivera reassigns Medicare benefits to Baylor College Of Medicine (Houston, TX). The 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 Nilda Colon-rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nilda Colon-rivera accept?
Health plans from Blue Cross and Blue Shield of Texas list Nilda Colon-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 Nilda Colon-rivera affiliated with any hospitals?
According to CMS data, Nilda Colon-rivera is affiliated with Harris Health System.
When was this NPI record last updated?
The NPPES record for Nilda Colon-rivera was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Nilda Colon-Rivera, MD · NPI 1801985270
Family Medicine physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1801985270 (Entity type: Individual)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** J0395 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3550 SWINGLE RD, Houston, TX 77047-3763
- **Phone:** (713) 547-1000
## 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:** Baylor College Of Medicine (NPI 1104867175, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Puerto Rico School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** February 26, 2025
- **Other identifiers:** Other 1370066003 (TX); Medicaid 137006602 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1801985270) · Data from the CMS NPPES public registry.