Individual provider Active NPI

Rivka Ann Sanders, MD

  • Family Medicine Physician
  • Ashland, OR
National Provider Identifier
1255302725
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD151361 Issued in OR
Practice address
540 Catalina Dr
Ashland, OR 97520-1605
Phone
(541) 482-0061
Fax
(888) 869-7645
NPI assigned
Jan 31, 2006
Last updated
Jan 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD151361 OR Primary

Addresses

Primary practice location

540 Catalina Dr
Ashland, OR 97520-1605

Mailing address

258 A St Ste 1-133
Ashland, OR 97520-1947
Phone (541) 482-0061

Other identifiers 1

IdentifierTypeStateIssuer
227698MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000714 OR Practitioner - Family Practice 8820074206 Practice locations: Ashland, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1255302725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 A ST STE 1-133",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201947",
            "telephone_number": "541-482-0061",
            "fax_number": "888-869-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CATALINA DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201605",
            "telephone_number": "541-482-0061",
            "fax_number": "888-869-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RIVKA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD151361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227698",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.