Individual provider Active NPI

Rita Lorraine Ritsema, MD

  • Gastroenterology Physician
  • Havertown, PA
National Provider Identifier
1982621629
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD033108E Issued in PA
Practice address
1010 West Chester Pike
Ste #202
Havertown, PA 19083-3442
Phone
(610) 789-3510
Fax
(610) 789-3591
NPI assigned
Jul 17, 2006
Last updated
Feb 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD033108E PA Primary

Addresses

Primary practice location

1010 West Chester Pike
Ste #202
Havertown, PA 19083-3442

Mailing address

1010 West Chester Pike
Ste #202
Havertown, PA 19083-3442
Phone (610) 789-3510

Other identifiers 1

IdentifierTypeStateIssuer
116809903MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101129000220 PA Practitioner - Gastroenterology 9032305370 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Bryn Mawr Medical Specialists Association CurrentSince Dec 12, 2018 Accepting new patients

Locations

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

825 Old Lancaster Rd
Ste 340
Bryn Mawr, PA 19010
Phone (610) 525-9570

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1010 W Chester Pike
Ste 202
Havertown, PA 19083
Phone (215) 789-3510

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Interoperability endpoints

  • Direct secure messaging: rita.ritsema@bmmsa.directbygreenway.com

Organizations & group practices 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1982621629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WEST CHESTER PIKE",
            "address_2": "STE #202",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833442",
            "telephone_number": "610-789-3510",
            "fax_number": "610-789-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WEST CHESTER PIKE",
            "address_2": "STE #202",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833442",
            "telephone_number": "610-789-3510",
            "fax_number": "610-789-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITSEMA",
        "first_name": "RITA",
        "middle_name": "LORRAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD033108E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116809903",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.