EDUARDO G RIVERA M.D. NPI 1457428096

NPI Information

  • NPI: 1457428096
  • Provider Name: EDUARDO G RIVERA, M.D.
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 122 DEMAREE DR
    MADISON, IN
    ZIP 47250
  • Phone: (812) 265-9191

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NPI Details

Eduardo G Rivera, M.D. is a mohs-micrographic surgery dermatology in Madison, IN with 31 years of experience. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. Eduardo G Rivera, M.D. NPI is 1457428096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

122 DEMAREE DR
MADISON, IN
ZIP 47250-622
Phone: (812) 265-9191
Fax: (812) 265-1050

The NPI 1457428096 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
  • Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
  • Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
  • Application of vein wound compression bandages on lower leg, ankle, and foot (HCPCS:29581)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Application of light by qualified health care professional to destroy precancer skin growth (HCPCS:96573)
  • Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm (HCPCS:17263)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Complicated or multiple drainage of skin abscess (HCPCS:10061)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS:13122)
  • Complicated repair of wound of trunk, each additional 5.0 cm or less (HCPCS:13102)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less (HCPCS:13133)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Destruction of cancer skin growth of trunk, arms, or legs, 3.1-4.0 cm (HCPCS:17264)
  • Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
  • Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm (HCPCS:17273)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
  • Punch biopsy, each additional skin growth (HCPCS:11105)
  • Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11403)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Biopsy of ear (HCPCS:69100)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/29/2006 and was last updated on 12/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic Surgery01050279INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120897OTHERINDIANAIN HEALTH NETWORK ID
27514003OTHERINDIANAAETNA PROVIDER NUMBER
3G93466MEDICARE UPININDIANA
4185140DMEDICARE ID-TYPE UNSPECIFIEDINDIANA
550007573MEDICAIDKENTUCKY
6000000368119OTHERINDIANAANTHEM BCBS IN PROV NUMB
7065504OTHERINDIANACOLUMBUS SIHO ID
82636834000MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYPASSPORT ADVANTAGE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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