Individual provider Active NPI

Sudha Raman, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Phoenixville, PA
National Provider Identifier
1609885540
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD064672L Issued in PA
Practice address
140 Nutt Rd
Phoenixville Hospital
Phoenixville, PA 19460-3906
Phone
(610) 983-1000
Fax
(302) 651-4945
NPI assigned
Aug 7, 2006
Last updated
Sep 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD064672L PA
Neonatal-Perinatal Medicine Physician 2080N0001X MD064672L PA Primary

Addresses

Primary practice location

140 Nutt Rd
Phoenixville Hospital
Phoenixville, PA 19460-3906

Mailing address

PO Box 191
Provider Enrollment Department
Rockland, DE 19732-0191
Phone (904) 697-4203

Other identifiers 2

IdentifierTypeStateIssuer
101363505MedicaidPA
0065463MedicaidNJ

Other names 1

  • Sudha Ravishankar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20200414003324 DE Practitioner - Pediatric Medicine 5799739942 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD064672LPAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Jan 9, 2020 Accepting new patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients
St. Francis Hospital Inc. Past Accepting new patients

Locations

1600 Rockland Rd
Wilmington, DE 19803

701 N Clayton St
Ste 400
Wilmington, DE 19805
Phone (302) 421-9700

833 Chestnut St
Ste 300
Philadelphia, PA 19107
Phone (215) 861-8800

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

Organizations & group practices 3

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1609885540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191",
            "address_2": "PROVIDER ENROLLMENT DEPARTMENT",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197320191",
            "telephone_number": "904-697-4203",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NUTT RD",
            "address_2": "PHOENIXVILLE HOSPITAL",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603906",
            "telephone_number": "610-983-1000",
            "fax_number": "302-651-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAN",
        "first_name": "SUDHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD064672L",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD064672L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101363505",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065463",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUDHA",
            "last_name": "RAVISHANKAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.