Individual provider

Edgardo Rivera-rivera, M.D.

Pediatric Gastroenterology Physician Medicare enrolled

Edgardo Rivera-rivera, M.D. is a Pediatric Gastroenterology Physician in Fort Wayne, IN, registered under NPI 1710151303. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 11123 PARKVIEW PLAZA DR STE 200, Fort Wayne, IN 46845. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11123 PARKVIEW PLAZA DR STE 200, Fort Wayne, IN 46845 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
01081050A IN Pediatric Gastroenterology Physician primary

This provider holds licence 01081050A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
1759694615
Enrollment ID
I20181102001310

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatric Gastroenterology covers

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. NUCC Health Care Provider Taxonomy, code 2080P0206X
Allopathic & Osteopathic Physicians Pediatrics Pediatric Gastroenterology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1710151303 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 15, 2008
Last updatedSep 3, 2025
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 11123 PARKVIEW PLAZA DR STE 200
Fort Wayne, IN 46845
(260) 425-6100
Fax (260) 425-6105
Mailing address 11109 PARKVIEW PLAZA DR # 117
Fort Wayne, IN 46845
This record was updated on Sep 3, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1710151303 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 1 0 1 5 1 3 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 2 0 2 5 2 3 0

Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1710151303?
NPI 1710151303 is the National Provider Identifier assigned to Edgardo Rivera-rivera, M.D. in Fort Wayne, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Gastroenterology cover?
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…
How do I contact Edgardo Rivera-rivera, M.D.?
The phone number on file with NPPES is (260) 425-6100, last updated Sep 3, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Edgardo Rivera-rivera, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1710151303 a valid number?
Yes. 1710151303 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.