Active NPI
Ravi K Sapra, MD
- Neurology Physician
- Philadelphia, PA
National Provider Identifier
1306979489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD032333L
- Practice address
- Roxborough Memorial Hospital
Philadelphia, PA 19128 - Phone
- (215) 483-9900
- Fax
- (215) 487-4563
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD032333L | PA | Primary |
| Neurology Physician | 2084N0400X | 037902 | GA |
Addresses
Primary practice location
Roxborough Memorial Hospital
Philadelphia, PA 19128
Mailing address
826 Juniper Drive
Lafayette Hill, PA 19444
Phone (215) 296-3770
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100723000515 | PA | Practitioner - Neurology | 1153453345 | Practice locations: Lafayette Hill, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037902 | GA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306979489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 JUNIPER DRIVE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "19444",
"telephone_number": "215-296-3770",
"fax_number": "215-487-4563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROXBOROUGH MEMORIAL HOSPITAL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19128",
"telephone_number": "215-483-9900",
"fax_number": "215-487-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPRA",
"first_name": "RAVI",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD032333L",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "037902",
"primary": false
}
],
"identifiers": [],
"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, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.