Individual provider Active NPI

Lawrence Rivkin, M.D.

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1770613978
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C34985 Issued in CA
Practice address
465 N Roxbury Dr Ste 803
Beverly Hills, CA 90210-4211
Phone
(310) 274-9954
Fax
(310) 274-9450
NPI assigned
Mar 6, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C34985 CA Primary

Addresses

Primary practice location

465 N Roxbury Dr Ste 803
Beverly Hills, CA 90210-4211

Mailing address

465 N Roxbury Dr Ste 803
Beverly Hills, CA 90210-4211
Phone (310) 274-9954

Other identifiers 2

IdentifierTypeStateIssuer
C34985OtherCALICENSE
954220697OtherCATAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000411 CA Practitioner - DermatologyPractitioner - Pathology 3779771969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
University of Virginia School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Rivkin MD a Med CorpGroup PAC ID 4981892171, 7 clinicians
Dermatology Associates of Beverly HillsGroup PAC ID 5799215687, 8 clinicians

Practice addresses (Care Compare)

465 N Roxbury Dr
Suite 803
Beverly Hills, CA 90210-4211
Phone (310) 274-9954

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1230
Removal or shaving of skin growth33
Skin biopsy683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C34985CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Rivkin MD a Med Corp CurrentSince Jun 1, 1989 Accepting new patients
Dermatology Associates of Beverly Hills CurrentSince Jan 1, 2025 Accepting new patients

Locations

465 N Roxbury Dr
Ste 803
Beverly Hills, CA 90210
Phone (310) 274-9954

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770613978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 803",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104211",
            "telephone_number": "310-274-9954",
            "fax_number": "310-274-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 803",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104211",
            "telephone_number": "310-274-9954",
            "fax_number": "310-274-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVKIN",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C34985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C34985",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "954220697",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.