Dennis W Rivenburgh, PHYSICIAN ASSTISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004803 Issued in MD

Practice address

5051 Greenspring Ave
Baltimore, MD 21209-4354

Phone

(410) 601-9515

Fax

(410) 601-8905

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drivenburgh475034@direct.hopkinsmedicine.org
• FHIR API: https://api.platform.athenahealth.com/5077/brand/3/csg/61/fhir/r4

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.

• Johns Hopkins University

  • Orthopaedic Surgery Physician
  • Baltimore, MD
  • NPI 1013913789

  DC

  Medicare reassignment Care Compare group NPD
• Johns Hopkins University

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment Care Compare group
• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment
• Johns Hopkins University

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Elkton, MD
  • NPI 1659677615
  NPD
• Sinai Hospital of Baltimore Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1669497285
  NPD
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• MNR Industries LLC

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD (past)
• Florida Musculoskeletal Surgical Group LLC

  • Orthopaedic Surgery Physician
  • St Petersburg, FL
  • NPI 1073850160
  NPD (past)
• Tampa Bay Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Pinellas Park, FL
  • NPI 1255313425
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993
  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1669454104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST FL 5",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006",
            "telephone_number": "410-955-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094354",
            "telephone_number": "410-601-9515",
            "fax_number": "410-601-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVENBURGH",
        "first_name": "DENNIS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSTISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3490",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3490",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290365200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970005415",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynzie Ritz, PA-C
• Eva Katharina Ritzl, M.D.
• Marisol Rivas Quinteros
• Martha Rivas
• Samantha Rosa Rivas, MD
• Keysabelis Rivera Alvarez, MD
• Paola Nathaly Rivera Cabrera
• Paola Carolina Rivera Mudafort, PHARMD
• Krissia Margarita Rivera Perla, MD, MPH, MS
• Francisco Xavier Rivera Zambrano, M.D.

• Medical Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.