Sara C. Gavenonis, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C1-0010238 Issued in DE

Practice address

4755 Ogletown Stanton Rd
Dept of Radiology, Christiana Care Health Services
Newark, DE 19718-2200

Phone

(302) 733-1806

NPI assigned

Jan 9, 2007

Last updated

Feb 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Perelman School of Med at the University of Pennsylvania, 2002

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

Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Christiana Care Pennsylvania Inc

  dba CCHS Imaging PA

  • Diagnostic Radiology Physician
  • West Grove, PA
  • NPI 1467298299
  Medicare reassignment Care Compare group NPD
• Christiana Care Health Services Inc

  dba CCHS Imaging

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1942553615
  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  dba CCHS Pathology

  • Anatomic Pathology Physician
  • Newark, DE
  • NPI 1245674993

  Diagnostic Radiology

  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  dba CCHS Pmri

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment NPD
• Christiana Care Health Services Inc

  dba Christiana Care Cardiology of Southern Chester County

  • Cardiovascular Disease Physician
  • West Grove, PA
  • NPI 1659547560
  Medicare reassignment NPD
• Christiana Care Health Services Inc

  dba CCHS-Radiology

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1952335556
  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Nuc Med

  • Nuclear Medicine Physician
  • Chadds Ford, PA
  • NPI 1023445889
  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Christiana Care Pennsylvania Inc

  • Surgery Physician
  • Glen Mills, PA
  • NPI 1871465419
  NPD
• Trustees of the University of Pennsylvania

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1124882949
  NPD (past)
• Univ of Penn Community Radiology

  • Diagnostic Radiology Physician
  • Wayne, PA
  • NPI 1740293232
  NPD (past)

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

• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1073662243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "DEPT OF RADIOLOGY, CHRISTIANA CARE HEALTH SERVICES",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "DEPT OF RADIOLOGY, CHRISTIANA CARE HEALTH SERVICES",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVENONIS",
        "first_name": "SARA",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "231225",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD431328",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0010238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology Associates, PA
• Gastroenterology Specialists of Delaware LLC
• Felistas W Gatune, FNP
• Celine Gauffeny
• Jill Gaumer, LCSW
• Micherlle Gayeski
• Beatrice M Gaynor, NP
• David J Gaz, D.M.D.
• Lynne B. Gbadamosi
• Andrew Stephen Gebhart, M.A, BSC

• Diagnostic Radiology Physician in Newark, DE
• Providers in Newark, DE by specialty
• Diagnostic Radiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.

Verify at the official NPI Registry.