ALAN LEN RIVERA (M.D.) – Internal Medicine Physician, NPI 1871569665

ALAN LEN RIVERA (M.D.) is a healthcare provider. based in Wauseon, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35.078607 (OH). The NPI Number for ALAN LEN RIVERA (M.D.) is 1871569665

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
ALAN LEN RIVERA (M.D.)
NPI
1871569665
Phone
(419) 335-3242
Address
735 S SHOOP AVE
Enumeration Date
23 February 2006
Last Update Date
28 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062132529
Graduation Year
1996 (30 years ago)
PAC ID
9739185687
Group Practice PAC ID
6800889841
Professional Enrollment ID
I20220729000151
Address ID
GA306351830EL4XXXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for ALAN LEN RIVERA (M.D.)

  • 735, South Shoop Avenue, Wauseon, Fulton County, Ohio, 43567, United States

    WAUSEON, OH 435671735

    Phone: (419) 335-3242

    Fax: (419) 335-3222

    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: 2022-07-29

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
I20220729000151IInternal MedicineGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2513$0
View full utilization report →

Insurance plans in this area (ZIP 43567)

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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: 6800889841View full group profile
NameSpecialtyState
-GA
-GA
Family PracticeUT
-SC
Nurse PractitionerGA
General Surgery, Colorectal Surgery (Proctology)GA

Reviews

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Frequently asked questions

What is ALAN LEN RIVERA (M.D.)'s NPI number?
ALAN LEN RIVERA (M.D.)'s NPI is 1871569665 — the number used across U.S. healthcare to identify this provider.
Is there an active status for ALAN LEN RIVERA (M.D.)?
For scheduling context, ALAN LEN RIVERA (M.D.) is shown as active in the registry.
How would a patient describe ALAN LEN RIVERA (M.D.)'s focus?
For ALAN LEN RIVERA (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ALAN LEN RIVERA (M.D.)?
Travel planning: use Wauseon, Ohio as the reference point for ALAN LEN RIVERA (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.