Individual provider Active NPI

Sarah Elizabeth Ravelo, MD

  • Pediatrics Physician
  • Methuen, MA
National Provider Identifier
1114548278
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1016306 Issued in MA
Practice address
147 Pelham St
Methuen, MA 01844-2060
Phone
(978) 683-3491
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 1016306 MA Primary

Addresses

Primary practice location

147 Pelham St
Methuen, MA 01844-2060

Mailing address

147 Pelham St
Methuen, MA 01844-2060
Phone (978) 683-3491

Other names 1

  • Sarah Elizabeth Bauch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230721002380 MA Practitioner - Pediatric Medicine 5395105357 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1016306MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Pediatric Associates Inc Pediatrics CurrentSince May 22, 2025 Accepting new patients
Lawrence General Hospital Pediatrics Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

Interoperability endpoints

  • Direct secure messaging: sarah.bauch.1@23857.direct.athenahealth.com
  • Direct secure messaging: sravelo135930@tuftsmedicine.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1114548278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PELHAM ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442060",
            "telephone_number": "978-683-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PELHAM ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442060",
            "telephone_number": "978-683-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVELO",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "1016306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BAUCH",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.