FERNANDO RIVERO (PA, MPAS, MPH) – Physician Assistant, NPI 1063992022

FERNANDO RIVERO (PA, MPAS, MPH) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA, MPAS, MPH. They hold a License No. 10953254-1206 (UT). The NPI Number for FERNANDO RIVERO (PA, MPAS, MPH) is 1063992022

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
FERNANDO RIVERO (PA, MPAS, MPH)
NPI
1063992022
Phone
(801) 699-9951
Address
1377 E WILSON AVE
Enumeration Date
20 August 2018
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
4587906805
Group Practice PAC ID
4486541851
Professional Enrollment ID
I20190506002730
Address ID
UT845350000MOPOXXXBOXX201

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Secure Messaging
frivero438048@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:7State licenses:1Other names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for FERNANDO RIVERO (PA, MPAS, MPH)

  • 1377 E WILSON AVE

    SALT LAKE CITY, UT 841053758

    Phone: (801) 699-9951

    Type: Mailing

  • 380 W 100 N Ste A

    Monticello, UT 845357879

    Phone: (435) 587-5054

    Type: Location

  • 5555 S Old Airport Rd

    Moab, UT 84532

    Phone: (435) 419-9210

    Type: Location

  • Cottonwood Street, Murray, Salt Lake County, Utah, 84107, United States

    MURRAY, UT 841075705

    Phone: (801) 507-9700

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 201 W LAYTON PKWY STE 1A

    LAYTON, UT 840413692

    Phone: (801) 543-6872

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $462.

Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: ABBVIE INC. ($277).

Total Amount

$462

General + Research + Ownership

Payments

18

Total payment records

General Amount

$462

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-05-06

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
I20190506002730IPhysician AssistantUTTBD

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 84105)

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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: 4486541851View full group profile
NameSpecialtyState
General SurgeryNC
Family PracticeUT
Physician AssistantUT
-KS
Nurse PractitionerUT
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyUT
Family PracticeUT
Physician AssistantUT
Pediatric MedicineCA
General SurgeryPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for FERNANDO RIVERO (PA, MPAS, MPH)?
FERNANDO RIVERO (PA, MPAS, MPH) — NPI 1063992022 — is the standard way to identify this listing.
Does the file indicate FERNANDO RIVERO (PA, MPAS, MPH) is practicing under active NPI?
Directory data currently reports FERNANDO RIVERO (PA, MPAS, MPH) as active.
What is FERNANDO RIVERO (PA, MPAS, MPH)'s primary classification?
Physician Assistant is the headline specialty for FERNANDO RIVERO (PA, MPAS, MPH) here. Clinical services aligned with this taxonomy classification.
What address line appears for FERNANDO RIVERO (PA, MPAS, MPH)?
FERNANDO RIVERO (PA, MPAS, MPH)'s geographic hint is Salt Lake City, Utah in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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