Raul Rivera, MD
NPI 1205853843 · Internal Medicine Physician · Pasadena, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raul Rivera, MD is a Internal Medicine Physician provider in Pasadena, TX (NPI 1205853843).
Provider details
- NPI number
- 1205853843
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- J9302 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
578 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 181 | $92 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 121 | $9 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 64 | $14 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 42 | $130 |
| Urinalysis, Manual Test81002 | 38 | $3 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 33 | $19 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 191 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,634 | 530 |
| Olmesartan Medoxomil | 803 | 243 |
| Omeprazole | 693 | 244 |
| Levothyroxine Sodium | 678 | 197 |
| Metformin Hcl | 625 | 211 |
| Amlodipine Besylate | 562 | 177 |
| Gabapentin | 538 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$752 across 41 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2012-08-15
Frequently asked questions
- What is Raul Rivera's NPI number?
- Raul Rivera's National Provider Identifier (NPI) is 1205853843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raul Rivera's specialty?
- Raul Rivera is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Raul Rivera located?
- Raul Rivera's practice location on file with NPPES is 3808 Woodlawn, Pasadena, TX 77504-1933.
- What is Raul Rivera's phone number?
- The practice phone number listed in the NPPES registry for Raul Rivera is (713) 944-4042.
- Does Raul Rivera accept Medicare?
- Raul Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raul Rivera's NPI active?
- Yes — Raul Rivera's NPI (1205853843) is active in the NPPES registry as of the last update on 2012-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.