P Praxis·MD
● Active Type 1 · Individual

Fernando A Riveron, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)·Boise, ID· NPI 1568493427 · Enumerated 2006 · 19 years on NPI
Riveron is 1 of 13 thoracic surgery (cardiothoracic vascular surgery) providers in Boise and 1 of 25 in Idaho.
NPI age
19 years
Enumerated 2006-07-06
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Plus 2 subspecialties
Licensed in
ID, WA, WI
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 25 active thoracic surgery (cardiothoracic vascular surgery) providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 68% — 32% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
6140 W Curtisian Ave Ste 100
Boise, ID 837040109
📞 2083020130fax 2083020135
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170fax 2083675180

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
2845 Greenbrier Rd
Green Bay, WI 54311
📞 9202888320fax 7158470401
Location 3
425 Pine Ridge Blvd, Suite 209
Wausau, WI 544014123
📞 7158470400fax 7158470401
Location 4
1225 Campbell Way Ste 201
Bremerton, WA 983103323
📞 3603771355fax 2538571399
Location 5
425 Pine Ridge Blvd, Suite 209
Wausau, WI 544014123
📞 7158470400fax 7158470401

Specialties

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary
    A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall,...
    ID license #MC-0427WA license #MD60930244WI license #37552 taxonomy 208G00000X

Identifiers

TypeValueNotes
05 (WI) 32205400
05 (WA) 2127756
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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