MARIA T RIVERA (MD) – Gastroenterology Physician, NPI 1417924192

MARIA T RIVERA (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in GASTROENTEROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 36361-20 (WI). The NPI Number for MARIA T RIVERA (MD) is 1417924192

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MARIA T RIVERA (MD)
NPI
1417924192
Phone
(414) 908-6500
Address
2801 W KINNICKINNIC RIVER PKWY STE 1080
Enumeration Date
2 March 2006
Last Update Date
26 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4149086500
Graduation Year
1990 (36 years ago)
PAC ID
1658808696
Group Practice PAC ID
6103738562
Professional Enrollment ID
I20250102002182
Address ID
WI532153689MI2801XPKWY502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

382 GASTROENTEROLOGY in WI

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Provider Addresses for MARIA T RIVERA (MD)

  • West Kinnickinnic River Parkway, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    MILWAUKEE, WI 532153689

    Phone: (414) 908-6500

    Fax: (414) 908-6510

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Medline Industries LP ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$30
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: 2025-01-02

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
I20250102002182IGastroenterologyWITBD

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 53215)

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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: 6103738562View full group profile
NameSpecialtyState
Gastroenterology, Pediatric MedicineWI
-WI
P A T H O L O G YTN
Nurse PractitionerWI
Physician AssistantWI
Physician AssistantWI
Gastroenterology, Internal MedicineWI
Physician AssistantWI
Nurse PractitionerWI
Physician AssistantWI

Reviews

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Frequently asked questions

What number should I use to identify MARIA T RIVERA (MD) for billing?
Administrative and clinical systems typically use NPI 1417924192 for MARIA T RIVERA (MD).
Should I treat MARIA T RIVERA (MD) as an active provider?
Patients and plans typically see MARIA T RIVERA (MD) as active in the national extract.
What services align with MARIA T RIVERA (MD)'s listing?
MARIA T RIVERA (MD)'s public classification highlights Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MARIA T RIVERA (MD) in Milwaukee, Wisconsin?
For routing, start with Milwaukee, Wisconsin for MARIA T RIVERA (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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