MANUEL A. RIVERA (M.D.) – Internal Medicine Physician, NPI 1184690133
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,297 EMERGENCY MEDICINE in WI
Provider Addresses for MANUEL A. RIVERA (M.D.)
5000 Memorial Dr
Two Rivers, WI 542413900
Phone: (920) 794-5000
Type: Location
4006 WASHINGTON RD
KENOSHA, WI 531444819
Phone: (262) 656-0044
Fax: (262) 653-2218
Type: Mailing
4536 22ND AVE
KENOSHA, WI 531405917
Phone: (262) 656-0044
Fax: (262) 653-2218
Type: Location
Aurora Medical Center in Manitowoc County, 5000, Memorial Drive, Two Rivers, Manitowoc County, Wisconsin, 54241, United States
TWO RIVERS, WI 542413900
Phone: (920) 794-5000
Type: Location
N39W27145, Glacier Road, City of Pewaukee, Waukesha County, Wisconsin, 53072, United States
PEWAUKEE, WI 53072
Phone: (262) 696-4467
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Mylan Specialty L.P. ($29).
Total Amount
$121
General + Research + Ownership
Payments
6
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-08-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040803000977 | I | Emergency Medicine | WI | TBD |
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.
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 54241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | IL | |
| Clinical Social Worker | WI | |
| Nurse Practitioner | WI | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI |
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