DR. KENNY STEVEN RIVERA MD
NPI 1891292629
Family Medicine in Clovis, CA

Q: What is Kenny Rivera's NPI number?

The NPI number for Kenny Rivera is 1891292629. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Q: What is Kenny Rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenny Rivera was last updated on October 28, 2021. 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.

Active since April 09, 2018PECOS Enrolled

180 W SHAW AVE, CLOVIS, CA 93612(559) 203-6600 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenny Steven Rivera Md NPPES

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

DR. KENNY STEVEN RIVERA MD (NPI 1891292629) is an individual family medicine provider in Clovis, California, licensed in California (A175093) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Joaquin.

NPPES Registry Identity

NPI1891292629

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KENNY STEVEN RIVERACredential: MD

Location Address180 W SHAW AVEClovis, CA 93612-3746

Mailing AddressPo Box 737San Joaquin, CA 93660-0737 · (559) 203-6640

Phone(559) 203-6600

Sole ProprietorYes

Enumeration DateApril 9, 2018

Last NPPES UpdateOctober 28, 2021

NPPES CertifiedOctober 28, 2021

✔ NPI 1891292629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A175093

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

180 W SHAW AVE, Clovis, CA 93612

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Secondary Practice Location 1

Location 14711 W. Ashlan Ave.San Joaquin, CA 93660-0737 · Phone (559) 203-6640

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenny Steven 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93612 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 3

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

DR. PARMALA KUMARI BANGAR M.D.

Pediatrics

180 W SHAW AVE
CLOVIS, CA 93612

Fresno County (559) 203-6600

VALLEY HEALTH TEAM INC

Clinic/Center (Federally Qualified Health Center (FQHC))

180 W SHAW AVE, SUITE B
CLOVIS, CA 93612

Fresno County (559) 693-2462

ARCHANA BANGALORE

Family Medicine

180 W SHAW AVE
CLOVIS, CA 93612

Fresno County (559) 203-6600

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 Kenny Rivera's NPI number?

The NPI number for Kenny Rivera is 1891292629. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Kenny Rivera located?

Kenny Rivera practices at 180 W Shaw Ave, Clovis, CA 93612. The listed phone number is (559) 203-6600.

What is Kenny Rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenny Rivera enrolled in Medicare?

Yes. Kenny Rivera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenny Rivera was last updated on October 28, 2021. 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.