Individual provider Active NPI

Ragu P Sanjeev, MD

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1245428960
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0084010 Issued in MD
Practice address
200 Hygeia Drive
Suite 2100
Newark, DE 19713-2049
Phone
(302) 623-0188
Fax
(302) 623-0554
NPI assigned
Oct 9, 2007
Last updated
May 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0084010 MD Primary
Internal Medicine Physician 207R00000X LICENSE # C1-0009185 DE

Addresses

Primary practice location

200 Hygeia Drive
Suite 2100
Newark, DE 19713-2049

Mailing address

10313 Georgia Ave
Ste 207
Silver Spring, MD 20902-5006
Phone (301) 681-7010

Other identifiers 1

IdentifierTypeStateIssuer
278609OtherPAAM BD INTERNAL MED EXAM

Other names 1

  • Raguranjan Sanjeevi Pandurangan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20101210001027 DE Practitioner - Internal Medicine 3971693680 Reassigns benefits to 3 organizations
I20180209000325 DC Practitioner - HospitalistPractitioner - Internal Medicine 3971693680 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LICENSE # C1-0009185DEMDInternal Medicine Physician
D0084010MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Oct 5, 2015 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Oct 5, 2015 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Oct 5, 2015 Accepting new patients
Christiana Care Health Services, Inc Internal Medicine CurrentSince Oct 5, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Christiana Care Health Services, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

200 Hygeia Dr
Ste 2100
Newark, DE 19713
Phone (302) 623-0188

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 10

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1245428960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "STE 207",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-7010",
            "fax_number": "301-593-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DRIVE",
            "address_2": "SUITE 2100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-0188",
            "fax_number": "302-623-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJEEV",
        "first_name": "RAGU",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0084010",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "LICENSE # C1-0009185",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM BD INTERNAL MED EXAM",
            "identifier": "278609",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAGURANJAN",
            "last_name": "SANJEEVI PANDURANGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.