Gilma Lizaida Rivas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R194206 Issued in MD

Practice address

12520 Fairwood Pkwy
Bowie, MD 20720-6343

Phone

(301) 262-2300

Fax

(844) 888-1044

NPI assigned

Aug 11, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excelsior Healthcare EnterprisesGroup PAC ID 7719354109, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Excelsior Healthcare Enterprises

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1225781305

  DC

  Medicare reassignment Care Compare group NPD
• Familys Urgent Care

  • Family Medicine Physician
  • Hyattsville, MD
  • NPI 1619491735

  DC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1104472711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12520 FAIRWOOD PKWY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206343",
            "telephone_number": "301-262-2300",
            "fax_number": "844-888-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 FAIRWOOD PKWY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206343",
            "telephone_number": "301-262-2300",
            "fax_number": "844-888-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013773",
            "country_code": "US",
            "telephone_number": "443-481-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "GILMA",
        "middle_name": "LIZAIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R194206",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Risam and Risam, P.C.
• Manjit Kaur Risam, M.D.
• Ranjit S Risam, M.D.
• Riseabove Behavioral Health Services LLC
• Sara Ritchey, COT
• Danalee H. a. Robb, AGPCNP
• Margaret Robert
• Roberts Home Medical LLC
• Alaina M Robey, PHARMD
• Kernie Robin, FNP

• Family Nurse Practitioner in Bowie, MD
• Providers in Bowie, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.