EDGARDO D. RIVERA-RIVERA M.D. – NPI #1710151303
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

EDGARDO RIVERA-RIVERA is a physician located in FORT WAYNE, IN. NPPES has assigned the NPI number 1710151303 to EDGARDO RIVERA-RIVERA on April 15, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was last updated on Sep 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDGARDO RIVERA-RIVERA below.

NPI Profile for
EDGARDO D. RIVERA-RIVERA

NPI Number
1710151303
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDGARDO D. RIVERA-RIVERA
Credentials
M.D.
Primary location
11123 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845-1707
Phone: (260) 425-6100 Fax: (260) 425-6105
2 Other location(s):
1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 243-3166
3900 Washington Ave # 100
Evansville, IN 47714-0550
Phone: (812) 485-6694
Mailing address
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Sep 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)
IN 01081050A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
11123 PARKVIEW PLAZA DR STE 201,
FORT WAYNE, IN 77025-1669

Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
11123 PARKVIEW PLAZA DR STE 201,
FORT WAYNE, IN 77025-1669

Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
11123 PARKVIEW PLAZA DR STE 201,
FORT WAYNE, IN 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.