IndividualActive
Renato Rivera, M.D.
NPI 1083612790 · Surgery Physician · Breese, IL
Renato Rivera, M.D. is a Surgery Physician provider in Breese, IL (NPI 1083612790).
Provider details
- NPI number
- 1083612790
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036045712 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9515 Holy Cross Ln Ste 175
Breese, IL 62230-3618
Phone: (618) 526-8430
Fax: (618) 526-7275
Street-level locationGet directions
Mailing address
9401 Holy Cross Ln
Breese, IL 62230-3510
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2021-12-30
- Certified
- 2021-12-30
Frequently asked questions
- What is Renato Rivera's NPI number?
- Renato Rivera's National Provider Identifier (NPI) is 1083612790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Renato Rivera's specialty?
- Renato Rivera is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Renato Rivera located?
- Renato Rivera's practice location on file with NPPES is 9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618.
- What is Renato Rivera's phone number?
- The practice phone number listed in the NPPES registry for Renato Rivera is (618) 526-8430.
- Is Renato Rivera's NPI active?
- Yes — Renato Rivera's NPI (1083612790) is active in the NPPES registry as of the last update on 2021-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.