Rafael Rolon Rivera, MD
NPI 1316233661 · Internal Medicine Physician · Indianapolis, IN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Rolon Rivera, MD is a Internal Medicine Physician provider in Indianapolis, IN (NPI 1316233661).
Provider details
- NPI number
- 1316233661
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18717 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
251 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 77 | $110 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 76 | $160 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 50 | $73 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 27 | $106 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 21 | $120 |
Typical Medicare-allowed amounts for these services range $73–$160 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (5)
- 6644 E Baywood AveBanner Baywood Medical CenterMesa, AZ 85206Phone: (480) 321-3900Fax: (480) 321-3840
- 13001 Southern BlvdLoxahatchee, FL 33470-9203Phone: (561) 798-3300
- 86 W Underwood StOrlando, FL 32806-1110Phone: (888) 912-3648Fax: (321) 841-4085
- 1000 4th St SwMason City, IA 50401-2800Phone: (641) 428-7000
- 2651 E Discovery PkwyBloomington, IN 47408-9059Phone: (812) 353-9515Fax: (812) 353-9275
Registry dates
- Enumerated
- 2011-06-24
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Rafael Rolon Rivera's NPI number?
- Rafael Rolon Rivera's National Provider Identifier (NPI) is 1316233661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Rolon Rivera's specialty?
- Rafael Rolon Rivera is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Rolon Rivera located?
- Rafael Rolon Rivera's practice location on file with NPPES is 1701 Senate Blvd, Indianapolis, IN 46202-1239.
- What is Rafael Rolon Rivera's phone number?
- The practice phone number listed in the NPPES registry for Rafael Rolon Rivera is (317) 962-8776.
- Does Rafael Rolon Rivera accept Medicare?
- Rafael Rolon Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Rolon Rivera's NPI active?
- Yes — Rafael Rolon Rivera's NPI (1316233661) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.