Provider profile

Carlos RiveraMD

Internal Medicine, Endocrinology, Diabetes & Metabolism

NPI 1215429543
1625 N Campbell Ave, Tucson, AZ 85719520-694-0111

Check your plan

Medicare Advantage plans for Pima County, AZ.

Checked Oct 31, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 83 Medicare Advantage plans we show for Pima County, AZ in 2027

  • 71 list Carlos
  • 12 not listed

Humana

13 plans list Carlos.

13plans
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-435-001Medicare.gov
    $0a month
  • Humana Essentials Plus Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-051-000Medicare.gov
    $0a month
  • Humana Gold Plus H0028-021 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH0028-021-000Medicare.gov
    $0a month
  • Humana Gold Plus H0028-074 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH0028-074-002Medicare.gov
    $0a month

Devoted

12 plans list Carlos.

12plans
  • DEVOTED CHOICE 003 AZ (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 3838 N Campbell Ave Bldg 2, Tucson, AZ, 85719
    • 2800 E Ajo Way, Tucson, AZ, 85713

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH6586-003-000Medicare.gov
    $0a month
  • DEVOTED CHOICE MA ONLY 005 AZ (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 3838 N Campbell Ave Bldg 2, Tucson, AZ, 85719
    • 2800 E Ajo Way, Tucson, AZ, 85713

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH6586-005-000Medicare.gov
    $0a month
  • DEVOTED CORE 021 AZ (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 3838 N Campbell Ave Bldg 2, Tucson, AZ, 85719
    • 2800 E Ajo Way, Tucson, AZ, 85713

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH8173-021-000Medicare.gov
    $0a month
  • DEVOTED CORE 094 AZ (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 3838 N Campbell Ave Bldg 2, Tucson, AZ, 85719
    • 2800 E Ajo Way, Tucson, AZ, 85713

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH7993-094-000Medicare.gov
    $0a month

UnitedHealthcare

10 plans list Carlos.

10plans
  • AARP Medicare Advantage Essentials from UHC AZ-1 (HMO-POS)

    HMO-POSDrug coverage4 starsH0609-025-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS)

    HMO-POSDrug coverage4 starsH0609-045-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC AZ-0007 (PPO)

    PPODrug coverage4 starsH2406-062-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx AZ-MA01 (PPO)

    PPONo drug coverage4 starsH2406-077-000Medicare.gov
    $0a month

Wellpoint

7 plans list Carlos; not listed on 1 other plan.

7plans
  • Wellpoint Medicare Advantage 1 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1625 N Campbell Ave, Tucson, AZ, 85719
    • 3838 N Campbell Ave, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH1423-004-000Medicare.gov
    $0a month
  • Wellpoint Medicare Advantage 2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1625 N Campbell Ave, Tucson, AZ, 85719
    • 3838 N Campbell Ave, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH2593-001-000Medicare.gov
    $0a month
  • Wellpoint Premium Savings (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1625 N Campbell Ave, Tucson, AZ, 85719
    • 3838 N Campbell Ave, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH1423-005-000Medicare.gov
    $0a month
  • Wellpoint Chronic Care (HMO-POS C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1625 N Campbell Ave, Tucson, AZ, 85719
    • 3838 N Campbell Ave, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with certain chronic conditionsDrug coverage3.5 starsH1423-002-000Medicare.gov
    $0a month

Aetna Medicare

6 plans list Carlos.

6plans
  • Aetna Medicare Eagle (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-329-000Medicare.gov
    $0a month
  • Aetna Medicare Prime (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverageH8332-007-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH4835-002-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-554-000Medicare.gov
    $0a month

Alignment Health Plan

6 plans list Carlos.

6plans
  • Alignment Health ONE + Walgreens 002 (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3443-002-000Medicare.gov
    $0a month
  • Alignment Health ONE 008 (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3443-008-000Medicare.gov
    $0a month
  • Alignment Health Smart 005 (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3443-005-000Medicare.gov
    $0a month
  • Alignment Health Heart & Diabetes 003 (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with certain chronic conditionsDrug coverage4 starsH3443-003-000Medicare.gov
    $0a month

HealthSpring

5 plans list Carlos.

5plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719
    • 2901 N Central Ave, Phoenix, AZ, 85012

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH0354-028-000Medicare.gov
    $0a month
  • HealthSpring Preferred Extra Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719
    • 2901 N Central Ave, Phoenix, AZ, 85012

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH0354-030-000Medicare.gov
    $0a month
  • HealthSpring Preferred Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719
    • 2901 N Central Ave, Phoenix, AZ, 85012

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH0354-029-000Medicare.gov
    $0a month
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719
    • 2901 N Central Ave, Phoenix, AZ, 85012

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH7849-065-000Medicare.gov
    $0a month

SCAN Health Plan

5 plans list Carlos; not listed on 1 other plan.

5plans
  • SCAN Classic (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH1822-001-000Medicare.gov
    $0a month
  • SCAN MyChoice (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH1822-007-000Medicare.gov
    $0a month
  • SCAN Walmart Medicare Advantage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH1822-009-000Medicare.gov
    $0a month
  • SCAN Balance (HMO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with certain chronic conditionsDrug coverage3.5 starsH1822-002-000Medicare.gov
    $0a month

eternalHealth

3 plans list Carlos.

3plans
  • eternalHealth Catalina (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage2.5 starsH3551-005-000Medicare.gov
    $0a month
  • eternalHealth Horizon (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage2.5 starsH3551-001-000Medicare.gov
    $0a month
  • eternalHealth Valor Give Back (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713
    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage2.5 starsH3551-003-000Medicare.gov
    $0a month

Blue Cross Blue Shield of Arizona (AZ Blue)

2 plans list Carlos.

2plans
  • Blue Best Life Classic (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH0302-008-000Medicare.gov
    $0a month
  • Blue Best Life Select (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Bldg 100, Tucson, AZ, 85713
    • 3838 N Campbell Ave, Bldg 2, Tucson, AZ, 85719

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH0302-011-000Medicare.gov
    $0a month

Mercy Care Advantage

2 plans list Carlos.

2plans
  • Mercy Care Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH5580-005-000Medicare.gov
    $16.10a month
  • Mercy Care Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 2800 E Ajo Way, Tucson, AZ, 85713

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH5580-004-000Medicare.gov
    $16.80a month

Banner Medicare Advantage

Not listed on its 2 plans here. That isn't proof they're out of network.

Gold Kidney Health Plan

Not listed on its 3 plans here. That isn't proof they're out of network.

Verda Health Plan of Arizona

Not listed on its 2 plans here. That isn't proof they're out of network.

Wellcare

Not listed on its 3 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Carlos takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

1625 N Campbell Ave
Tucson, AZ 85719

NPI Registry
NPI issued
2018
Registry record updated
Aug 18, 2025

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Carlos Rivera?

In Pima County, AZ, 71 Medicare Advantage plans for 2027 list Carlos in provider data from Medicare.gov or the carrier, including Humana Essentials Plus Giveback (PPO) and Humana Gold Plus H0028-021 (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Carlos Rivera take Humana Medicare Advantage plans?

Humana's own provider directory lists Carlos on 13 Medicare Advantage plans for 2027 in Pima County, AZ, including Humana Essentials Plus Giveback (PPO). Confirm with the office or Humana before you enroll.

Does Carlos Rivera take Devoted Medicare Advantage plans?

Devoted's own provider directory lists Carlos on 12 Medicare Advantage plans for 2027 in Pima County, AZ, including DEVOTED CHOICE 003 AZ (PPO) and DEVOTED CHOICE MA ONLY 005 AZ (PPO). Confirm with the office or Devoted before you enroll.

Does Carlos Rivera take UnitedHealthcare Medicare Advantage plans?

Carrier directories and Medicare.gov provider data list Carlos on 10 Medicare Advantage plans for 2027 in Pima County, AZ, including AARP Medicare Advantage Essentials from UHC AZ-1 (HMO-POS) and AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Where does Carlos Rivera practice?

1625 N Campbell Ave, Tucson, AZ 85719.

How do I confirm Carlos is in my plan's network?

Call the member services number on your plan card and give them the NPI 1215429543, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Carlos's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Carlos Rivera on 10 plans from Banner Medicare Advantage, Gold Kidney Health Plan, Verda Health Plan of Arizona and Wellcare in Pima County, AZ. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2025-08-18). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 31, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Carlos Rivera or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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