DEAN RIVERS (P.A.) – Surgical Physician Assistant, NPI 1073566394

DEAN RIVERS (P.A.) is a healthcare provider. based in Danbury, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 001609 (CT). The NPI Number for DEAN RIVERS (P.A.) is 1073566394

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DEAN RIVERS (P.A.)
NPI
1073566394
Phone
(203) 797-7212
Address
24 HOSPITAL AVE
Enumeration Date
18 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037397118
Graduation Year
1980 (46 years ago)
PAC ID
3072554609
Group Practice PAC ID
4789597691
Professional Enrollment ID
I20050513000417
Address ID
CT068106099DA24XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for DEAN RIVERS (P.A.)

  • Danbury Hospital, 24, Hospital Avenue, Germantown, Danbury, Fairfield County, Connecticut, 06810, United States

    DANBURY, CT 068106099

    Phone: (203) 797-7212

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050513000417IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06810)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789597691View full group profile

Reviews

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Frequently asked questions

What identifier follows DEAN RIVERS (P.A.) across health systems?
The NPI 1073566394 uniquely identifies DEAN RIVERS (P.A.) in U.S. healthcare data.
Is DEAN RIVERS (P.A.)'s NPI status active today?
Active status means DEAN RIVERS (P.A.)'s NPI record is not deactivated in the public file.
What does the directory say DEAN RIVERS (P.A.) does?
Insurance directories may phrase it differently, but here DEAN RIVERS (P.A.) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to DEAN RIVERS (P.A.)?
DEAN RIVERS (P.A.) shows a connection to Danbury, Connecticut in registry-derived data.
Why is information missing for DEAN RIVERS (P.A.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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