Individual provider Active NPI

Rivka Bortz, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1437708286
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R192057 Issued in MD
Practice address
6503 Park Heights Ave Apt 2L
Baltimore, MD 21215-3013
Phone
(410) 358-2397
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R192057 MD Primary

Addresses

Primary practice location

6503 Park Heights Ave Apt 2L
Baltimore, MD 21215-3013

Mailing address

2403 Sylvale Rd Apt C
Baltimore, MD 21209-1556
Phone (443) 452-9950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20191205002066 MD Practitioner - Nurse Practitioner 2163855180 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R192057MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M. Cooper, M.D,, LLC CurrentSince Dec 17, 2019 Accepting new patients

Locations

6503 Park Heights Ave
Baltimore, MD 21215
Phone (410) 358-2397

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1437708286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SYLVALE RD APT C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091556",
            "telephone_number": "443-452-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 PARK HEIGHTS AVE APT 2L",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153013",
            "telephone_number": "410-358-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTZ",
        "first_name": "RIVKA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R192057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.