DR. ANDREW ROBERT RIVERA (MD) – Anesthesiology Physician, NPI 1629464474

DR. ANDREW ROBERT RIVERA (MD) is a healthcare provider. based in Tacoma, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 60956782 (WA). The NPI Number for DR. ANDREW ROBERT RIVERA (MD) is 1629464474

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW ROBERT RIVERA (MD)
NPI
1629464474
Phone
(480) 532-7294
Address
1515 TACOMA AVE S APT 113
Enumeration Date
8 April 2015
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
4083549254
Graduation Year
2015 (11 years ago)
PAC ID
8628314259
Group Practice PAC ID
9032210935
Professional Enrollment ID
I20221122001603
Address ID
CA940152200DA1900XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Digital endpointsOther names

1,517 ANESTHESIOLOGY in WA

Provider Addresses for DR. ANDREW ROBERT RIVERA (MD)

  • 1515 TACOMA AVE S APT 113

    TACOMA, WA 984021823

    Phone: (480) 532-7294

    Fax: (425) 284-1546

    Type: Mailing

  • 1717 S J ST

    TACOMA, WA 984054933

    Phone: (212) 342-5525

    Fax: (212) 305-3204

    Type: Location

  • 500 JEFFERSON AVE

    REDWOOD CITY, CA 940631791

    Phone: (480) 532-7294

    Type: Mailing

  • 6001 NORRIS CANYON RD

    SAN RAMON, CA 945835400

    Phone: (925) 275-9200

    Type: Location

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: 2022-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190827000280IAnesthesiologyNYTBD
I20221122001603IAnesthesiologyCATBD

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
00142Anesthesia for lens surgery7167$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2827$0
36620Insertion of artery tube for blood sampling or infusion through skin2020$0
00918Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope1918$0
00140Anesthesia for other procedure on eye1515$0
View full utilization report →

Insurance plans in this area (ZIP 98402)

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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: 9032210935View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOR
-CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
-CA
-CA
A N E S T H E S I O L O G YCA
Anesthesiology, Interventional Pain ManagementCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

Is there an official ID for DR. ANDREW ROBERT RIVERA (MD) in U.S. healthcare records?
The official identifier for DR. ANDREW ROBERT RIVERA (MD) is NPI 1629464474.
Active or inactive — what applies to DR. ANDREW ROBERT RIVERA (MD)?
You should see DR. ANDREW ROBERT RIVERA (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. ANDREW ROBERT RIVERA (MD)?
DR. ANDREW ROBERT RIVERA (MD) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. ANDREW ROBERT RIVERA (MD) associated with Tacoma?
Public fields place DR. ANDREW ROBERT RIVERA (MD) around Tacoma, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.