Organization Active NPI

Rivers Dermatology, LLC

  • Dermatology Physician
  • Clinton, MD
National Provider Identifier
1609741792
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RIVERS DERMATOLOGY, LLC
Practice address
8926 Woodyard Rd Ste 101
Clinton, MD 20735-4230
Phone
(301) 818-5001
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Diana A Rivers, DONPI 1891227674
Title
Owner
Phone
(301) 818-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

8926 Woodyard Rd Ste 101
Clinton, MD 20735-4230

Mailing address

8926 Woodyard Rd Ste 101
Clinton, MD 20735-4230
Phone (301) 818-5001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251209002360 DC Part B Supplier - Clinic/Group Practice 1951895895 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2332514Rivers Dermatology8926 Woodyard Rd Suite 101, Clinton, MD 20735Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1609741792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD STE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354230",
            "telephone_number": "301-818-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD STE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354230",
            "telephone_number": "301-818-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-818-5001",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.