Individual provider Active NPI

Sowmya Ravi, M.D.

  • Dermatology Physician
  • Baltimore, MD
National Provider Identifier
1104115963
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0098477 Issued in MD
Practice address
1800 Orleans St
Baltimore, MD 21287-0010
Phone
(410) 955-8893
NPI assigned
Apr 1, 2011
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD606048465 WA
Dermatology Physician 207N00000X D0098477 MD Primary
MOHS-Micrographic Surgery Physician 207ND0101X MD60648465 WA

Addresses

Primary practice location

1800 Orleans St
Baltimore, MD 21287-0010

Mailing address

6201 Greenleigh Ave FL 2
Middle River, MD 21220-2004
Phone (410) 933-2704

Other practice location 1

15906 Mill Creek Blvd
Suite 105
Mill Creek, WA 98012-1797
Phone (425) 385-2009

Other names 1

  • Sowmya Ravi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231111000738 MD Practitioner - Dermatology 4880843721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10153 York Rd
Suite 104
Cockeysville, MD 21030-3398
Phone (410) 472-0901

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision198
Removal of skin lesions628
Removal of skin cancer1123
Removal of nail tissue1-10
Removal or shaving of skin growth18
Skin biopsy242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0098477MDMDDermatology Physician
MD606048465WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Jan 1, 2024 Accepting new patients
Advanced Dermatology of Maryland PC Dermatology Current Accepting new patients
Advanced Dermatology of Maryland PC Dermatology CurrentSince Jan 1, 2024 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

3445 Box Hill Corporate Center Dr
Ste E
Abingdon, MD 21009
Phone (410) 472-1006

10153 York Rd
Ste 104
Hunt Valley, MD 21030
Phone (410) 472-0901

101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010

1838 Greene Tree Rd
Ste 340
Pikesville, MD 21208
Phone (410) 602-3376

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

Interoperability endpoints

  • Direct secure messaging: sowmya.ravi@adcs1.emadirect.md
  • Direct secure messaging: sowmyaj@frontierdermpartners.emadirect.md

Organizations & group practices 3

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": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1104115963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE FL 2",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-955-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15906 Mill Creek Blvd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980121797",
            "country_code": "US",
            "telephone_number": "425-385-2009",
            "fax_number": "425-939-0807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVI",
        "first_name": "SOWMYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD606048465",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0098477",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD60648465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOWMYA",
            "last_name": "RAVI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.