Diana Alyce Rivers, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0102206745 Issued in VA

Practice address

13880 Braddock Rd Ste 301
Centreville, VA 20121-2462

Phone

(703) 222-2273

Fax

(703) 222-6093

NPI assigned

Mar 30, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA, MD3 enrollments

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 3

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drivers@usdp7.emadirect.md

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.

• Rivers Dermatology, LLC

  • Dermatology Physician
  • Clinton, MD
  • NPI 1609741792

  DC, Single Specialty

  Medicare reassignment NPD Authorized official
• Derm Associates LLC

  • Dermatology Physician
  • Silver Spring, MD
  • NPI 1649271354

  DC, Single Specialty, VA

  Medicare reassignment NPD
• Annapolis Dermatology Center, PA

  • Dermatology Physician
  • Annapolis, MD
  • NPI 1700995974

  Single Specialty

  NPD (past)
• Elizabeth Mitchell Dugan MD LLC

  • Specialist
  • Silver Spring, MD
  • NPI 1588869226

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1891227674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 301",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212462",
            "telephone_number": "703-222-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 301",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212462",
            "telephone_number": "703-222-2273",
            "fax_number": "703-222-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034914",
            "country_code": "US",
            "telephone_number": "516-719-2546",
            "fax_number": "516-719-2766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21495 Ridgetop Cir Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201666512",
            "country_code": "US",
            "telephone_number": "703-766-9676",
            "fax_number": "703-450-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1247 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036298",
            "country_code": "US",
            "telephone_number": "610-402-2537",
            "fax_number": "610-402-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "DIANA",
        "middle_name": "ALYCE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-07-29",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102206745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891227674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Winnik Reynolds, LMT, MMP, MLD-C
• Henry Hyung Back Rhee, MD
• Donald Richard Rhodes, M.D.
• Breonna Riddick
• Abbe Loraine Riffle, PMHNP-BC, APRN, MSN
• Nicole Roche, MPT
• Rocky Run Family Medicine Inc
• Seyyed Hadi Roghani
• Mary Katherine Rogowski, F.N.P.
• Peter Rohan, DC

• Dermatology Physician in Centreville, VA
• Providers in Centreville, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.
• 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.