CARLOS A RIVAS MD NPI 1942261052

NPI Information

NPI: 1942261052
Provider Name: CARLOS A RIVAS, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3065 WILLIAM ST
SUITE 209
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 335-4100
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Carlos A Rivas, MD is a general practice in Cape Girardeau, MO with 31 years of experience. Carlos A Rivas, MD NPI is 1942261052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3065 WILLIAM ST
SUITE 209
CAPE GIRARDEAU, MO
ZIP 63703-393
Phone: (573) 335-4100
Fax: (573) 339-7887

The NPI 1942261052 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 enumeration date for this NPI number is 3/29/2006 and was last updated on 10/7/2020.

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
1	208D00000X	General Practice		2010011993	MISSOURI	Yes
2	208D00000X	General Practice		R4668	ARKANSAS	No

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
1	1942261052	MEDICAID	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

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