Active NPI
Sudha Raman, M.D.
- Neonatal-Perinatal Medicine Physician
- Phoenixville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD064672L
- 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, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101363505 | Medicaid | PA | |
| 0065463 | Medicaid | NJ |
Other names 1
- Sudha Ravishankar
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD064672L | PA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | 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.
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1366594699
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1255363578
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1295738896
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.