ANDRES RIERA M.D.
NPI 1841569167
Internal Medicine in Reading, PA
About Andres Riera M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRES RIERA M.D. (NPI 1841569167) is an individual internal medicine provider in Reading, Pennsylvania, licensed in Pennsylvania (MD446833) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains a secondary practice location in Cherry Hill.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Andres Riera 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.
Medicare Billing Reassignments
4Medicare enrollment records show Andres Riera reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
West Chester, PA 19380
- Reassigned Medicare billing, Pennsylvania enrollment
- 983 clinicians in this Medicare group
Langhorne, PA 19047
- Reassigned Medicare billing, New Jersey enrollment
- 793 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 4
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center Of Princeton At Plainsboro
Acute Care Hospitals · Plainsboro, NJReading Hospital
Acute Care Hospitals · West Reading, PALancaster General Hospital
Acute Care Hospitals · Lancaster, PAHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPenn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Andres Riera's NPI number?
The NPI number for Andres Riera is 1841569167. It was assigned to this individual provider in the NPPES registry on December 14, 2011.
Where is Andres Riera located?
Andres Riera practices at 301 S 7th Ave Ste 2070, Reading, PA 19611. The listed phone number is (215) 662-6200.
What is Andres Riera's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Andres Riera enrolled in Medicare?
Yes. Andres Riera 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 Andres Riera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andres Riera reassigns Medicare benefits to 4 organizations: Tower Health Medical Group (West Reading, PA), Reading Hospital (West Reading, PA), Clinical Care Associates Of The University Of Pennsylvania Health (West Chester, PA) and Clinical Health Care Associates Of New Jersey, PC (Langhorne, PA). 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 Andres Riera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andres Riera accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Andres Riera 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 Andres Riera affiliated with any hospitals?
According to CMS data, Andres Riera is affiliated with University Medical Center Of Princeton At Plainsboro, Reading Hospital, Lancaster General Hospital, Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for Andres Riera was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.