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

Shelly Rivas, MD

Individual provider Dermatology Physician · NPI 1477999886

Shelly Rivas, MD is a Dermatology in Vestal, New York. Qualified in 2013, 13 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 17-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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

3101 Shippers Rd Ste 102
Vestal, NY 13850-2081
Phone: (607) 251-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 282663 (NY)

Record details

NPI number1477999886
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2013
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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