Active NPI
Azita Ravanbakhsh, M.D
- Internal Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C1-0008173
- Practice address
- 4755 Ogletown Stanton Rd
Newark, DE 19718-5235 - Phone
- (026) 230-1883
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C1-0008173 | DE | |
| Internal Medicine Physician | 207R00000X | C1-0008173 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-5235
Mailing address
33 Westwood Boulevard
Hockessin, DE 19707
Phone (302) 352-1719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1-0008173 | Other | DE | MEDICAL LICENSE |
Other names 1
- Azita Moosavy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
4735 Ogletown Stanton Rd
Newark, DE 19713-2072
Phone (302) 623-0200
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188
501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410
Hospital & facility affiliations
- Christiana Hospital
- Cadia Rehabilitation Pike Creek
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0008173 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Internal Medicine | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Delaware Post Acute Medical Services 1 | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| De Pacs 2 PA | Current | Accepting new patients | |
| Hospitalists of Delaware | Internal Medicine | Past | Accepting new patients |
| Christiana Care Health Services, Inc. | Past | Accepting new patients | |
| Pike Creek Healthcare Services LLC | Past | Accepting new patients |
Locations
726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4735 Ogletown Stanton Rd
Ste 1250
Newark, DE 19713
Phone (302) 623-0200
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582
Organizations & group practices 11
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.
-
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
Internal Medicine
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1760811681
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Hospitalist Physician
- Hockessin, DE
- NPI 1457837981
-
- Hospitalist Physician
- Wilmington, DE
- NPI 1801325717
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
Internal Medicine
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- Internal Medicine Physician
- Wilmington, DE
- NPI 1073623344
-
- Skilled Nursing Facility
- Wilmington, DE
- NPI 1467680561
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- Skilled Nursing Facility
- Wilmington, DE
- NPI 1467680561
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1013086560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 WESTWOOD BOULEVARD",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "19707",
"telephone_number": "302-352-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197185235",
"telephone_number": "026-230-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVANBAKHSH",
"first_name": "AZITA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DE",
"license": "C1-0008173",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0008173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C1-0008173",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AZITA",
"last_name": "MOOSAVY",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.