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MR. MAIZAL CUAUHTEMOC BENITO RIVERA FNP
NPI 1841622305
Nurse Practitioner - Family in San Antonio, TX

Active since August 06, 2013PECOS EnrolledAccepts Medicare Assignment
740 S ALAMO ST, SAN ANTONIO, TX 78205(210) 222-0333(210) 928-4837 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Maizal Cuauhtemoc Benito Rivera Fnp NPPES

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

MR. MAIZAL CUAUHTEMOC BENITO RIVERA FNP (NPI 1841622305) is an individual family provider in San Antonio, Texas, licensed in California (95028400) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and maintains a secondary practice location in Tulelake.

NPPES Registry Identity

NPI1841622305
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MAIZAL CUAUHTEMOC BENITO RIVERACredential: FNP
Location Address740 S ALAMO STSan Antonio, TX 78205-3437
Mailing Address5003 Bayonne DrSan Antonio, TX 78228-2526 · (210) 861-3721
Phone(210) 222-0333
Fax(210) 928-4837
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2012
Enumeration DateAugust 6, 2013
Last NPPES UpdateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1841622305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95028400✔ Licensed in TX · 713678
740 S ALAMO ST, San Antonio, TX 78205
Open in Google Maps ↗

Secondary Practice Location 1

Location 1498 Main StTulelake, CA 96134-9411 · Phone (530) 999-9060

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

Mr. Maizal Cuauhtemoc Benito Rivera Fnp 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 ID4981838802
PECOS Enrollment IDI20250318001583
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

4

Medicare enrollment records show Maizal Rivera reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Health Science Center At San Antonio
8.2 mi
Clinical Pathology/Laboratory Medicine
7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
NPI 1396717989 (210) 450-9000
Golden Valley Health Center
1,365 mi
Federally Qualified Health Center (FQHC)
13161 JEFFERSON ST
Le Grand, CA 95333
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1356325310 (209) 389-1900
Mountain Valleys Health Centers Inc
1,506 mi
Federally Qualified Health Center (FQHC)
554-850 MEDICAL CENTER DRIVE
Bieber, CA 96009
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1235310384 (530) 294-5241
K'ima:w Medical Center
1,626 mi
Clinic/Center
535 AIRPORT RD
Hoopa, CA 95546
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Kima-W Medical Center
  • 33 clinicians in this Medicare group
NPI 1306904222 (530) 625-4261

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims17 services$14.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims23 services$74.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MR. SERGIO RICARDO RODRIGUEZ JR. FNP
Nurse Practitioner (Family)
740 S ALAMO ST
SAN ANTONIO, TX 78205
Bexar County (210) 256-1539

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 Maizal Rivera's NPI number?

The NPI number for Maizal Rivera is 1841622305. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Maizal Rivera located?

Maizal Rivera practices at 740 S Alamo St, San Antonio, TX 78205. The listed phone number is (210) 222-0333.

What is Maizal Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maizal Rivera enrolled in Medicare?

Yes. Maizal 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 Maizal Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maizal Rivera reassigns Medicare benefits to 4 organizations: University Of Texas Health Science Center At San Antonio (San Antonio, TX), Golden Valley Health Center (Le Grand, CA), Mountain Valleys Health Centers Inc (Bieber, CA) and K'ima:w Medical Center (Hoopa, CA). 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 Maizal Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maizal Rivera affiliated with any hospitals?

According to CMS data, Maizal Rivera is affiliated with Sky Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Maizal Rivera was last updated on February 14, 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.