Active NPI
Robert G Rivard, MD
- Infectious Disease Physician
- Frederick, MD
National Provider Identifier
1629052121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD-11854
- Practice address
- 1425 Porter St
Usmariid - Med Division
Frederick, MD 21702-9211 - Phone
- (301) 619-4646
- Fax
- (210) 916-2121
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD-11854 | HI | Primary |
Addresses
Primary practice location
1425 Porter St
Usmariid - Med Division
Frederick, MD 21702-9211
Mailing address
5254 Bamburg CT
Frederick, MD 21703-2826
Phone (301) 663-1509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-11854 | HI | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1629052121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5254 BAMBURG CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217032826",
"telephone_number": "301-663-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTER ST",
"address_2": "USMARIID - MED DIVISION",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217029211",
"telephone_number": "301-619-4646",
"fax_number": "210-916-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVARD",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "HI",
"license": "MD-11854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.