Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Johan Ernesto Rivera , PA

Physician Assistant β€’ Round Rock, TX

Active NPI 1568249969 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3950 N A W Grimes Blvd Ste N201
Round Rock, TX 786653540

Call 8778005722 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3950 N A W Grimes Blvd Ste N201

Round Rock, TX 786653540

Telephone 8778005722
Organization at the Same NPPES Address or Phone
Lone Star Circle Of Care Facility NPI 1043633308

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Seton Family Of Doctors. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Johan Rivera has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Johan Rivera as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Round Rock and Texas

154 active clinicians are listed under Physician Assistant with a practice address in Round Rock, TX (11,008 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Round Rock

28.6% of these 154 clinicians have the CMS telehealth indicator.

68.2% of these 154 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TX PA17137

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20231019003672

Enrollment State Jurisdiction

TX

PECOS Control ID

1456707918

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Seton Family Of Doctors

3707 S 2nd St, Austin, TX 787047049

Phone: 5122464488

Seton Family Of Doctors

1201 W 38th St, Austin, TX 787051006

Phone: 5123241000

Seton Family Of Doctors

16020 Park Valley Dr, Round Rock, TX 786813573

Phone: 5122464488

Seton Family Of Doctors

1400 N Ih 35, Austin, TX 787011926

Seton Family Of Doctors

1400 N Ih 35 Ll, Austin, TX 787011926

Phone: 5123247300

Seton Family Of Doctors

1004 W 32nd St, Austin, TX 787051006

Phone: 5123243580

Seton Family Of Doctors

6001 Kyle Pkwy, Kyle, TX 786406112

Phone: 5125045000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Faustin Bahizi

Physician Assistant

NPI 1043826480
Dr. Marisol Carpio-Solis , MD

Obstetrics & Gynecology

NPI 1093772485

Doctor of Medicine (M.D.)

Suneela Cherlopalle

Psychiatry & Neurology - Psychiatry

NPI 1063896124
Dr. Leticia Diaz , MD

Obstetrics & Gynecology

NPI 1073969739

Doctor of Medicine (M.D.)

Vanessa Frassati , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013385624

Advanced Practice Registered Nurse

NPI 1154765691

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 05, 2023

Registered at 3950 N A W GRIMES BLVD STE N201, ROUND ROCK, TX 786653540 (Tel: 8778005722)

πŸ“
Updated Business Mailing Address October 05, 2023

Registered at 205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 786266821 (Tel: 5129941933)

βœ…
NPI Profile Active September 11, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 11, 2023

Registered at 3950 N A W GRIMES BLVD BLDG 2, ROUND ROCK, TX 786653540 (Tel: 8778005722)

πŸ“
Business Mailing Address (Initial Record) September 11, 2023

Registered at 20822 NW 19TH ST, PEMBROKE PINES, FL 330292330 (Tel: 9542426832)

πŸ‘€
Provider Name / Credentials (Initial Record) September 11, 2023

Recorded as JOHAN RIVERA, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2023

Physician Assistant (license number reported to NPPES: TX PA17137)

🟒
Initial NPI Registration & Enumeration September 11, 2023

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1568249969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2023
Last Update: October 05, 2023
Sole Proprietor: No

Other Physician Assistants in Round Rock

All Physician Assistants in Round Rock

Mailing Address

205 E University Ave Ste 200

Georgetown, TX 786266821

Phone: 5129941933

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.