DR. RAUL JAVIER VARGAS RIVERA MD
NPI 1962098749
General Practice in Winter Haven, FL

Active since December 16, 2020PECOS EnrolledAccepts Medicare Assignment
217 E CENTRAL AVE, WINTER HAVEN, FL 33880(407) 315-3637(407) 358-3440 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2021, Feb 27, 2021, Feb 5, 2021 and 2 more (5 updates tracked since 2020).

About Dr. Raul Javier Vargas Rivera Md NPPES

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

DR. RAUL JAVIER VARGAS RIVERA MD (NPI 1962098749) is an individual general practice provider in Winter Haven, Florida, licensed in Florida (ACN1361) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1962098749
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RAUL JAVIER VARGAS RIVERACredential: MD
Location Address217 E CENTRAL AVEWinter Haven, FL 33880-6312
Mailing AddressPo Box 532Lake Alfred, FL 33850-0532 · (407) 315-3637 · Fax (407) 358-3440
Fax(407) 358-3440
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 16, 2020
Last NPPES UpdateSeptember 13, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
NPI 1962098749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses Licensed in FL · ACN1361 Licensed in MT · MED-PHYS-REG-0002152 Licensed in FL · TPME1150
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License TPPA107 (FL)
217 E CENTRAL AVE, Winter Haven, FL 33880

Accepted 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

Dr. Raul Javier Vargas Rivera Md 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 ID3779998315
PECOS Enrollment IDI20210212001883
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.

Areas of Expertise CMS Part B claims 5

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.
57 services23 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
48 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
15 services15 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
13 services13 patients

Other Providers at the Same Location NPPES 10

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

Physician Assistant (Medical)
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Dietitian, Registered
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Clinic/Center (Multi-Specialty)
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
General Practice
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Nutritionist
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Nurse Practitioner (Family)
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Nurse Practitioner (Adult Health)
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Radiology (Diagnostic Radiology)
217 E CENTRAL AVE
WINTER HAVEN, FL 33880

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 Raul Vargas Rivera's NPI number?

The NPI number for Raul Vargas Rivera is 1962098749. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Raul Vargas Rivera located?

Raul Vargas Rivera practices at 217 E Central Ave, Winter Haven, FL 33880. The listed phone number is (407) 315-3637.

What is Raul Vargas Rivera's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Raul Vargas Rivera enrolled in Medicare?

Yes. Raul Vargas 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 Raul Vargas Rivera accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Molina Healthcare and UnitedHealthcare list Raul Vargas 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.

When was this NPI record last updated?

The NPPES record for Raul Vargas Rivera was last updated on September 13, 2023. 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.