Individual provider Active NPI

Soumiya Ravi

  • Cardiovascular Disease Physician
  • Newark, DE
National Provider Identifier
1104558154
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C7-0018930 Issued in DE
Practice address
Christiana Care Health Services
4755 Ogletown-Stanton Road, E Tower, Room-2875
Newark, DE 19718
Phone
(302) 733-1882
Fax
(302) 733-1103
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C7-0018930 DE Primary
Internal Medicine Physician 207R00000X R79327 AZ

Addresses

Primary practice location

Christiana Care Health Services
4755 Ogletown-Stanton Road, E Tower, Room-2875
Newark, DE 19718

Mailing address

Christiana Care Health Services
4755 Ogletown-Stanton Road, E Tower, Room-2875
Newark, DE 19718
Phone (302) 733-1882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220714002790 AZ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3072994573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R79327AZMDInternal Medicine Physician
C7-0018930DEMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1104558154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHRISTIANA CARE HEALTH SERVICES",
            "address_2": "4755 OGLETOWN-STANTON ROAD, E TOWER, ROOM-2875",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19718",
            "telephone_number": "302-733-1882",
            "fax_number": "302-733-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHRISTIANA CARE HEALTH SERVICES",
            "address_2": "4755 OGLETOWN-STANTON ROAD, E TOWER, ROOM-2875",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19718",
            "telephone_number": "302-733-1882",
            "fax_number": "302-733-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVI",
        "first_name": "SOUMIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C7-0018930",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R79327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.