Susan B Ragonesi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD030257E Issued in PA

Practice address

2527 S Broad St
1St Floor
Philadelphia, PA 19148-4309

Phone

(215) 755-4640

Fax

(215) 755-4576

NPI assigned

Apr 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.ragonesi@pdphahs.eclinicaldirectplus.com

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.

• City of Philadelphia

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1942317094
  Medicare reassignment NPD
• City of Philadelphia

  • Clinical Medical Laboratory
  • Phila, PA
  • NPI 1689688798
  NPD
• City of Philadelphia

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1699882597
  NPD
• City of Philadelphia

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1427165307
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1467419192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 S BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "215-755-4640",
            "fax_number": "215-755-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 S BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "215-755-4640",
            "fax_number": "215-755-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGONESI",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD030257E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajiv Srinivas Raghavan, MD
• Aparna Raghu, MD
• Sahana Raghunathan, MD
• Ramya Raghupathi, M.D
• Kareem Fard Ragin
• Jordan Ragsdale
• Kia G Ragsdale, B.A.
• Lauren Renee Ragusa, CRNP
• Raha Home Care Agencey
• Raha Mozaffari DMD LLC

• Pediatrics Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.

Verify at the official NPI Registry.