Active NPI
Sandra D Dayaratna, MD
- Obstetrics & Gynecology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD437090
- Practice address
- 833 Chestnut Street
1St Floor
Philadelphia, PA 19107-4420 - Phone
- (215) 955-5000
- Fax
- (215) 923-1089
- NPI assigned
- Mar 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 206983 | MA | |
| Obstetrics & Gynecology Physician | 207V00000X | 35-088723 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | MD437090 | PA | Primary |
Addresses
Primary practice location
833 Chestnut Street
1St Floor
Philadelphia, PA 19107-4420
Mailing address
833 Chestnut Street
1St Floor
Philadelphia, PA 19107-4420
Phone (215) 955-5000
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206983 | Other | MA LICENCE | |
| P00422677 | Other | OH | RAILROAD MEDICARE |
| 000000221069 | Other | OH | UNISON |
| 7400041 | Other | EVERCARE | |
| 000000509157 | Other | OH | ANTHEM |
| 51020 | Other | FALLON | |
| 7228135 | Other | AETNA NON HMO | |
| 7228135 | Other | OH | AETNA |
| 740798 | Other | OH | BUCKEYE |
| J22704 | Other | BLUE CARE ELECT | |
| 1895243 | Other | FIRST HEALTH | |
| 206983 | Other | MEDICARE PREFERRED/TUFTS | |
| 2703873 | Medicaid | OH | |
| 9676427001 | Other | CIGNA | |
| 2339545 | Other | AETNA HMO | |
| 414958 | Other | OH | WELLCARE |
| J22704 | Other | HMO BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Rutgers New Jersey Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
833 Chestnut St E
2ND FLR Suite 210
Philadelphia, PA 19107-5102
Phone (215) 955-8420
Hospital & facility affiliations
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206983 | MA | MD | Obstetrics & Gynecology Physician |
| 35-088723 | OH | MD | Obstetrics & Gynecology Physician |
| MD437090 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Obstetrics & Gynecology | Current | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients | |
| Community Physicians Associates, Inc. | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
833 Chestnut St
Frnt 2
Philadelphia, PA 19107
Phone (215) 955-2542
833 Chestnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-1085
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 7
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Obstetrics & Gynecology
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
- Rehabilitation Hospital Unit
- Philadelphia, PA
- NPI 1033129606
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- Gynecology Physician
- Milton, MA
- NPI 1851581193
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1518908136
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1275500712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074420",
"telephone_number": "215-955-5000",
"fax_number": "215-923-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074420",
"telephone_number": "215-955-5000",
"fax_number": "215-923-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYARATNA",
"first_name": "SANDRA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "206983",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35-088723",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD437090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LICENCE",
"identifier": "206983",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00422677",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000221069",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "7400041",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000509157",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "51020",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "7228135",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7228135",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "740798",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "J22704",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1895243",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PREFERRED/TUFTS",
"identifier": "206983",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2703873",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9676427001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2339545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "414958",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "J22704",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.