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SOUTHINGTON FAMILY MEDICAL CENTER
NPI 1902146996
Family Medicine in Milldale, CT

Active since February 27, 2013
1753 MERIDEN-WATERBURY TURNPIKE, MILLDALE, CT 06467(860) 621-5554(860) 621-3833 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southington Family Medical Center NPPES

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

SOUTHINGTON FAMILY MEDICAL CENTER (NPI 1902146996) is a healthcare organization registered as a family medicine in Milldale, Connecticut and active in the NPI registry since February 2013. The organization lists John Edwin Rivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1902146996
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN E. RIVERA JR., M.D., LLC
Location Address1753 MERIDEN-WATERBURY TURNPIKEMilldale, CT 06467
Mailing AddressPo Box 770Milldale, CT 06467-0770 · (860) 621-5554 · Fax (860) 621-3833
Phone(860) 621-5554
Fax(860) 621-3833
Organization SubpartNo
Authorized OfficialJohn Edwin RiveraOwner · (860) 621-5554
Enumeration DateFebruary 27, 2013
Last NPPES UpdateMay 2, 2013
✔ NPI 1902146996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 042567
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.
1753 MERIDEN-WATERBURY TURNPIKE, Milldale, CT 06467
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Other Names 1

Doing Business AsSouthington Family Medical Center

Other Identifiers 1

Medicare UPINI09328CT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southington Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southington Family Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

John Rivera, M.D.
Family Practice
NPI 1720044811
PO BOX 770
Milldale, CT 06467
(860) 621-5554
✔ PECOS✔ Accepts Medicare0.4 mi
Erin Shaw, APRN
Nurse Practitioner
NPI 1477004612
1579 STRAITS TPKE
Middlebury, CT 06762
(203) 598-7246
✔ PECOS✔ Accepts Medicare9.9 mi
Alyssa Anderson, APRN
Nurse Practitioner
NPI 1336421171
251 W MAIN ST
Branford, CT 06405
(203) 481-0077
✔ PECOS20 mi

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

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 John E. Rivera Jr., M.D., LLC's NPI number?

The NPI number for John E. Rivera Jr., M.D., LLC is 1902146996. It was assigned to this organization in the NPPES registry on February 27, 2013. The provider is doing business as Southington Family Medical Center.

Where is John E. Rivera Jr., M.D., LLC located?

John E. Rivera Jr., M.D., LLC is located at 1753 Meriden-Waterbury Turnpike, Milldale, CT 06467. The listed phone number is (860) 621-5554.

What is John E. Rivera Jr., M.D., LLC's specialty?

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

Is John E. Rivera Jr., M.D., LLC enrolled in Medicare?

Yes. John E. Rivera Jr., M.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John E. Rivera Jr., M.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to John E. Rivera Jr., M.D., LLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does John E. Rivera Jr., M.D., LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list John E. Rivera Jr., M.D., LLC 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.

When was this NPI record last updated?

The NPPES record for John E. Rivera Jr., M.D., LLC was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.