Active NPI
Richard H. Israel, PHD
- Audiologist
- Silver Spring, MD
National Provider Identifier
1720009368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00014
- Practice address
- 2101 Medical Park Dr
Suite 211
Silver Spring, MD 20902-4053 - Phone
- (301) 589-3277
- Fax
- (301) 589-3632
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00014 | MD | Primary |
Addresses
Primary practice location
2101 Medical Park Dr
Suite 211
Silver Spring, MD 20902-4053
Mailing address
2101 Medical Park Dr
Suite 211
Silver Spring, MD 20902-4053
Phone (301) 589-3277
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1199 0001 | Other | DC | CAREFIRST |
| 41550401 | Other | MD | CAREFIRST |
| 201746YB52 | Other | DC | MEDICARE |
| 640000285 | Other | GA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1720009368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 MEDICAL PARK DR",
"address_2": "SUITE 211",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024053",
"telephone_number": "301-589-3277",
"fax_number": "301-589-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 MEDICAL PARK DR",
"address_2": "SUITE 211",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024053",
"telephone_number": "301-589-3277",
"fax_number": "301-589-3632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "RICHARD",
"middle_name": "H.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "00014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "1199 0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "41550401",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "201746YB52",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "640000285",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.