Rivka Rivi Ben Dor

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0080747 Issued in MD

Practice address

14915 Broschart Rd Ste 2200
Rockville, MD 20850-3350

Phone

(301) 838-4912

Fax

(301) 251-4666

NPI assigned

Apr 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 8, 2019 through May 8, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

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

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811263007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22616 GATEWAY CENTER DR",
            "address_2": "SUITE E",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208712011",
            "telephone_number": "240-826-8600",
            "fax_number": "240-826-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14915 BROSCHART RD STE 2200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503350",
            "telephone_number": "301-838-4912",
            "fax_number": "301-251-4666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22616 Gateway Center Dr",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "MD",
            "postal_code": "208712011",
            "country_code": "US",
            "telephone_number": "240-826-8600",
            "fax_number": "240-826-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEN DOR",
        "first_name": "RIVKA",
        "middle_name": "RIVI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0080747",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "D0080747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Beltran
• Keirsten Beltrand
• Keily Beltre
• Kwabena Bempa
• Jane Bempong
• Ben Manesh DDS III PC
• Uzi Ben-Ami, PHD
• Maris Benar
• Andrew William Bender, MD
• Charles Bendu

• Psychiatry Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.