Organization Active NPI

Rainbow Pediatrics

  • Pediatrics Physician
  • Georgetown, DE
National Provider Identifier
1013076991
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C10005413 Issued in DE
Legal business name
RAINBOW PEDIATRICS
Practice address
21141 Sterling Ave Unit 1
Georgetown, DE 19947-5571
Phone
(302) 856-6967
Fax
(302) 855-0744
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Vibha Sanwal, MDNPI 1710078050
Title
Chief
Phone
(302) 381-5528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X C10005413 DE Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X C10006252 DE

Addresses

Primary practice location

21141 Sterling Ave Unit 1
Georgetown, DE 19947-5571

Mailing address

21141 Sterling Ave Unit 1
Georgetown, DE 19947-5571
Phone (302) 856-6967

Other practice location 1

1212 Savannah Road
Lewes, DE 19958
Phone (302) 856-6967

Other identifiers 3

IdentifierTypeStateIssuer
0001147901MedicaidDE
1000041255MedicaidDE
0000904101MedicaidDE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D1060162Rainbow Pediatrics LLC1212 Savannah Road, Lewes, DE 19958Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Locations

21141 Sterling Ave
Unit 1
Georgetown, DE 19947
Phone (302) 856-6967

1212 Savannah Rd
Lewes, DE 19958
Phone (302) 856-6967

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1013076991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21141 STERLING AVE UNIT 1",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199475571",
            "telephone_number": "302-856-6967",
            "fax_number": "302-855-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21141 STERLING AVE UNIT 1",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199475571",
            "telephone_number": "302-856-6967",
            "fax_number": "302-855-0744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Savannah Road",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "19958",
            "country_code": "US",
            "telephone_number": "302-856-6967",
            "fax_number": "302-855-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAINBOW PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "SANWAL",
        "authorized_official_first_name": "VIBHA",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "302-381-5528",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10005413",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10006252",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001147901",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000041255",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000904101",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.