Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin M Rivera Vazquez, MD

Individual provider Anesthesiology Physician · NPI 1205011103

Dr. Kevin M Rivera Vazquez, MD is an Anesthesiology in Fort Worth, Texas. Graduated from University of Cincinnati College of Medicine in 2007, 19 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
19
Trained at
University of Cincinnati College of Medicine
Licensed in
TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 7th Ave
Fort Worth, TX 76104-2733
Phone: (682) 885-4054
Fax: (682) 885-7497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence N4704 (TX)
Anesthesiology Physician Taxonomy 207L00000X · Licence N4704 (TX)

Record details

NPI number1205011103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2008
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Cook Childrens Physician Network — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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