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DR. ESTEBAN J DIAZ-RIVERA M.D, P.A
NPI 1932156999
Internal Medicine - Nephrology in Hialeah, FL

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
777 E 25TH ST, SUITE 514, HIALEAH, FL 33013(305) 835-7502(305) 835-7541 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2018, Jan 21, 2016 (2 updates tracked since 2016).

About Dr. Esteban J Diaz-rivera M.d, P.a NPPES

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

DR. ESTEBAN J DIAZ-RIVERA M.D, P.A (NPI 1932156999) is an individual nephrology provider in Hialeah, Florida, licensed in Florida (ME66676) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital Palm Springs Campus, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1932156999
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ESTEBAN J DIAZ-RIVERACredential: M.D, P.A
Location Address777 E 25TH ST, SUITE 514Hialeah, FL 33013
Mailing Address777 E 25th St, Suite 514Hialeah, FL 33013-3825 · (305) 835-7502 · Fax (305) 835-7541
Phone(305) 835-7502
Fax(305) 835-7541
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateMay 27, 2006
Last NPPES UpdateAugust 16, 20182 updates tracked since enumeration
✔ NPI 1932156999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME66676
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME0066676 (FL)
777 E 25TH ST, Hialeah, FL 33013
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Other Identifiers 2

Other27475AFL · Ptan
Medicaid377911401FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Wellpoint.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

Dr. Esteban J Diaz-rivera M.d, P.a 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 ID9436199247
PECOS Enrollment IDI20050510001192
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 Reassignment

Medicare enrollment records show Esteban Diaz-rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Esteban J Diaz Rivera MD PA
Same address
Nephrology
777 E 25TH ST, SUITE 514
Hialeah, FL 33013
  • Reassigned Medicare billing, Florida enrollment
NPI 1184057275 (305) 835-7502

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services57 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
128 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
102 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
80 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services16 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
41 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100050
Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County
Emergency services

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33013 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
99%129 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
75%2,690 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,401 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%722 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
7%722 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 666 patients
1%666 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

ROSSANA LOPEZ MD PA
Internal Medicine
777 E 25TH ST, SUITE 516
HIALEAH, FL 33013
Miami-Dade County (305) 836-1696
VENTURA SILVERIO SOLIS ARNP
Nurse Practitioner (Family)
777 E 25TH ST, SUITE #516
HIALEAH, FL 33013
Miami-Dade County (305) 889-6670
MOREH AND ASSOCIATES, P.A.
Pediatrics
777 E 25TH ST, SUITE 311
HIALEAH, FL 33013
Miami-Dade County (305) 836-5627
ROSARIO LLC
Internal Medicine
777 E 25TH ST, SUITE 501
HIALEAH, FL 33013
Miami-Dade County (305) 455-4284
AMADO VIERA, MD, PA
Family Medicine
777 E 25TH ST, STE 118
HIALEAH, FL 33013
Miami-Dade County (305) 835-0438
DR. HECTOR JOAQUIN MERUELO MD
Internal Medicine
777 E 25TH ST, 502
HIALEAH, FL 33013
Miami-Dade County (305) 836-7377
JULIAN A YONG MD PA
Urology
777 E 25TH ST, SUITE 312
HIALEAH, FL 33013
Miami-Dade County (786) 621-3897
NORTH MIAMI COLORECTAL SURGERY
Surgery
777 E 25TH ST, SUITE409
HIALEAH, FL 33013
Miami-Dade County (305) 696-0001

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 Esteban Diaz-rivera's NPI number?

The NPI number for Esteban Diaz-rivera is 1932156999. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Esteban Diaz-rivera located?

Esteban Diaz-rivera practices at 777 E 25th St Suite 514, Hialeah, FL 33013. The listed phone number is (305) 835-7502.

What is Esteban Diaz-rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Esteban Diaz-rivera enrolled in Medicare?

Yes. Esteban Diaz-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 organization bills Medicare for Esteban Diaz-rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esteban Diaz-rivera reassigns Medicare benefits to Esteban J Diaz Rivera MD PA (Hialeah, FL). The 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 Esteban Diaz-rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Esteban Diaz-rivera accept?

Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint list Esteban Diaz-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 Esteban Diaz-rivera affiliated with any hospitals?

According to CMS data, Esteban Diaz-rivera is affiliated with Larkin Community Hospital Palm Springs Campus and Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Esteban Diaz-rivera was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.