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MR. CARLOS J RIVERA M.D.
NPI 1871534511
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Houston, TX

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
6701 FANNIN ST STE 1250, HOUSTON, TX 77030(832) 822-1750(832) 825-1717 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Carlos J Rivera M.d. NPPES

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

MR. CARLOS J RIVERA M.D. (NPI 1871534511) is an individual neurology with special qualifications in child neurology provider in Houston, Texas, licensed in Texas (H9261) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Childrens Hosp, and is a graduate of Harvard Medical School (1983).

NPPES Registry Identity

NPI1871534511
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameMR. CARLOS J RIVERACredential: M.D.
Location Address6701 FANNIN ST STE 1250Houston, TX 77030-2612
Mailing Address2 E Greenway Plz, Suite 900Houston, TX 77046-0297 · (713) 798-1835 · Fax (713) 798-1144
Phone(832) 822-1750
Fax(832) 825-1717
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1983
Enumeration DateJune 10, 2006
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1871534511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in TX · H9261
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License H9261 (TX)
6701 FANNIN ST STE 1250, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Carlos J Rivera 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.

PECOS PAC ID3476565318
PECOS Enrollment IDI20060615000113
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.

Hospital Affiliations CMS Care Compare

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

Texas Childrens Hosp

Childrens · Houston, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453304
Location6621 Fannin StreetHouston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 15

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

NIKITA MALANI SHUKLA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6701 FANNIN ST STE 1250
HOUSTON, TX 77030
Harris County (713) 798-4951
DANIELLE SCHWARTZENBURG TAKACS M.D.
Psychiatry & Neurology (Epilepsy)
6701 FANNIN ST STE 1250
HOUSTON, TX 77030
Harris County (832) 822-1779
DR. STEVEN MICHAEL LAZAR M.D.
Pediatrics
6701 FANNIN ST STE 1250
HOUSTON, TX 77030
Harris County (832) 822-1750
ELEINA M FABER FNP
Nurse Practitioner
6701 FANNIN ST STE 1250
HOUSTON, TX 77030
Harris County (832) 822-1750
DR. HSIAO-TUAN CHAO M.D., PH.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6701 FANNIN ST STE 1250
HOUSTON, TX 77030
Harris County (832) 822-5046
DR. VICTORIA ADESEYE HARDWICK M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6701 FANNIN ST STE 1250
HOUSTON, TX 77030
Harris County (832) 822-1750
DR. ALEXANDER SANDWEISS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6701 FANNIN ST STE 1250
HOUSTON, TX 77030
Harris County (824) 832-1170
DAVUT PEHLIVAN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6701 FANNIN ST STE 1250
HOUSTON, TX 77030
Harris County (832) 822-1779

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 Carlos Rivera's NPI number?

The NPI number for Carlos Rivera is 1871534511. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Carlos Rivera located?

Carlos Rivera practices at 6701 Fannin St Ste 1250, Houston, TX 77030. The listed phone number is (832) 822-1750.

What is Carlos Rivera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Carlos Rivera enrolled in Medicare?

Yes. Carlos 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.

What insurance does Carlos Rivera accept?

Health plans from Moda Health Plan, Inc. list Carlos 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 Carlos Rivera affiliated with any hospitals?

According to CMS data, Carlos Rivera is affiliated with Texas Childrens Hosp.

When was this NPI record last updated?

The NPPES record for Carlos Rivera was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.