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ANDRES RIVERO M.D.
NPI 1972686327
Internal Medicine - Infectious Disease in Hialeah, FL

Active since October 21, 2006PECOS EnrolledAccepts Medicare Assignment
77.67/100
CMS Quality Rating
777 E 25TH ST STE 516, HIALEAH, FL 33013(305) 671-3722 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2025, Sep 19, 2025 (2 updates tracked since 2025).

About Andres Rivero M.d. NPPES

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

ANDRES RIVERO M.D. (NPI 1972686327) is an individual infectious disease provider in Hialeah, Florida, licensed in Florida (ME 107847) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1972686327
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameANDRES RIVEROCredential: M.D.
Location Address777 E 25TH ST STE 516Hialeah, FL 33013-3834
Mailing Address777 E 25th St Ste 516Hialeah, FL 33013-3834 · (305) 671-3722 · Fax (305) 671-3799
Phone(305) 671-3722
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 21, 2006
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1972686327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME 107847
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME 107847 (FL)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License ME 107847 (FL)
777 E 25TH ST STE 516, Hialeah, FL 33013
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Other Identifiers 1

Medicaid003200000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.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

Andres Rivero 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 ID8022291277
PECOS Enrollment IDI20110324000788
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.

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.
937 services323 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.
264 services185 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
263 services248 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
76 services75 patients
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.
14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

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.

77.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost92.24

Other Providers at the Same Location NPPES 4

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

ANDRES CAZAU MD
General Practice
777 E 25TH ST STE 516
HIALEAH, FL 33013
Miami-Dade County (305) 896-6670
DOLORES SANCHEZ CAZAU CLINIC INC
Internal Medicine
777 E 25TH ST STE 516
HIALEAH, FL 33013
Miami-Dade County (305) 889-6670
DR. DIANA CLABOTS MD
Internal Medicine (Infectious Disease)
777 E 25TH ST STE 516
HIALEAH, FL 33013
Miami-Dade County (305) 671-3722
SIMPLE CENTER ABC CORP
Clinic/Center
777 E 25TH ST STE 516
HIALEAH, FL 33013
Miami-Dade County (728) 218-6182

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 Andres Rivero's NPI number?

The NPI number for Andres Rivero is 1972686327. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Where is Andres Rivero located?

Andres Rivero practices at 777 E 25th St Ste 516, Hialeah, FL 33013. The listed phone number is (305) 671-3722.

What is Andres Rivero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Andres Rivero enrolled in Medicare?

Yes. Andres Rivero 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 Andres Rivero accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Andres Rivero 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 Andres Rivero affiliated with any hospitals?

According to CMS data, Andres Rivero is affiliated with Jackson Health System, Memorial Regional Hospital and Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Andres Rivero was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.