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Active NPI 1295821031 Individual Practitioner Male Practitioner

Dr. Modesto Santos Rivera , MD

Specialist • Prince Frederick, MD

Professional Overview & Biography Verified Profile Summary

Dr. Modesto Rivera, MD is a registered healthcare professional specializing in Specialist in Prince Frederick, MD. Practice services are available at 806 SOLOMONS ISLAND RD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

806 Solomons Island Rd.

Prince Frederick, MD 20678

Telephone 4105354242
Fax 4105354983

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Prince Frederick, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.0 Yrs
State Avg: 36.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Prince Frederick, MD (1034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MD D19963

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ghmsi
0283
Commercial Insurance / Payer ID Mamsi
2122218

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 806 SOLOMONS ISLAND RD., PRINCE FREDERICK, MD 20678 (Tel: 4105354242)

📍
Updated Business Mailing Address July 08, 2007

Registered at 806 SOLOMONS ISLAND ROAD NORTH, PRINCE FREDERICK, MD 20678 (Tel: 4105354242)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MODESTO RIVERA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #D19963 in MD)

🟢
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295821031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

806 Solomons Island Road North

Prince Frederick, MD 20678

Phone: 4105354242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.