Individual provider Active NPI

Eli Boritz, MD, PHD

  • Infectious Disease Physician
  • Bethesda, MD
National Provider Identifier
1962540112
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D67194 Issued in MD
Practice address
40 Convent Dr BLDG 40 MSC 3022
Vaccine Research Center
Bethesda, MD 20892-0001
Phone
(301) 496-5717
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D67194 MD
Infectious Disease Physician 207RI0200X D67194 MD Primary

Addresses

Primary practice location

40 Convent Dr BLDG 40 MSC 3022
Vaccine Research Center
Bethesda, MD 20892-0001

Mailing address

13811 Flint Rock Rd
Rockville, MD 20853-2647
Phone (720) 837-3251

Other identifiers 1

IdentifierTypeStateIssuer
T1645OtherMDJHH PROVIDER NUMBER

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 Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
D67194MDMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1962540112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 FLINT ROCK RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532647",
            "telephone_number": "720-837-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CONVENT DR BLDG 40 MSC 3022",
            "address_2": "VACCINE RESEARCH CENTER",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-496-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORITZ",
        "first_name": "ELI",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D67194",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D67194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHH PROVIDER NUMBER",
            "identifier": "T1645",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.