Individual provider Active NPI

Azita Ravanbakhsh, M.D

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1013086560
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C1-0008173 Issued in DE
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

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C1-0008173OtherDEMEDICAL LICENSE

Other names 1

  • Azita Moosavy Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000619 DE Practitioner - Internal Medicine 9638277957 Reassigns benefits to 6 organizations

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 IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

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 Hospital, Newark, DE, CCN 080001
  • Cadia Rehabilitation Pike Creek Nursing home, Wilmington, DE, CCN 085054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0008173DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Internal Medicine CurrentSince Jan 8, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 8, 2017 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Jan 8, 2017 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Jul 7, 2025 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Jan 8, 2017 Accepting new patients
Delaware Post Acute Medical Services 1 CurrentSince Jul 7, 2025 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
De Pacs 2 PA CurrentSince Jul 7, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.