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

Dr. Victor Ivan Rivera, MD

Individual provider Diagnostic Radiology Physician · NPI 1023675527

Dr. Victor Ivan Rivera, MD is an Interventional Radiology in Philadelphia, Pennsylvania. Graduated from Temple University School of Medicine in 2019, 7 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2019
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

1015 Walnut St Ste 620
Philadelphia, PA 19107-5005
Phone: (215) 955-6864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD476805 (PA)

Record details

NPI number1023675527
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2019
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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