DR. ELISEO RIVERA (M.D.) – Obstetrics & Gynecology Physician, NPI 1013990761

DR. ELISEO RIVERA (M.D.) is a healthcare provider. based in Odessa, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 39776 (TX). The NPI Number for DR. ELISEO RIVERA (M.D.) is 1013990761

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELISEO RIVERA (M.D.)
NPI
1013990761
Phone
(432) 272-4382
Address
8221 SAN ANTONIO ST
Enumeration Date
28 November 2005
Last Update Date
25 March 2011

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
4326813100
Graduation Year
1997 (29 years ago)
PAC ID
1759377500
Group Practice PAC ID
0345230975
Professional Enrollment ID
I20040426000431
Address ID
TX797015846MI400XXPKWY501
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

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. ELISEO RIVERA (M.D.)

  • 8221, San Antonio Street, Mission Pines, Mission, Odessa, Midland County, Texas, 79765, United States

    ODESSA, TX 797658527

    Phone: (432) 272-4382

    Fax: (432) 272-4382

    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: 2004-04-26

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
I20040426000431IObstetrics/GynecologyTXTBD

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 79765)

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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: 0345230975View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Mental Health CounselorTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify DR. ELISEO RIVERA (M.D.) with an NPI only?
You can start verification with NPI 1013990761 for DR. ELISEO RIVERA (M.D.), then check state licensing separately.
Does CMS list DR. ELISEO RIVERA (M.D.) as active?
Yes — DR. ELISEO RIVERA (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. ELISEO RIVERA (M.D.)?
For research purposes, treat DR. ELISEO RIVERA (M.D.) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. ELISEO RIVERA (M.D.) serve?
DR. ELISEO RIVERA (M.D.)'s listing highlights Odessa, Texas; more addresses can appear in NPPES.
Is the information about DR. ELISEO RIVERA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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