Individual provider Active NPI

Sheila V Ravendhran, MD, MPH

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1659427987
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P21485 Issued in MD
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(410) 955-2727
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P21485 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

124 N Belnord Ave
Baltimore, MD 21224-1235
Phone (410) 800-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090901000426 MD Practitioner - Pediatric MedicinePractitioner - Hospitalist 8820143589 Reassigns benefits to 2 organizations
I20181211002241 DC Practitioner - Pediatric Medicine 8820143589 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P21485MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jul 23, 2018 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Nov 19, 2018 Accepting new patients
Johns Hopkins Community Physicians, Inc Pediatrics CurrentSince Nov 19, 2018 Accepting new patients
Johns Hopkins Community Physicians, Inc Pediatrics CurrentSince Nov 19, 2018 Accepting new patients
University of Maryland Community Medical Group, Inc. Pediatrics CurrentSince Jul 23, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

6350 Stevens Forest Rd
Ste 103
Columbia, MD 21046
Phone (443) 259-3770

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • Direct secure messaging: sravendhran183326@direct.hopkinsmedicine.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659427987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N BELNORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241235",
            "telephone_number": "410-800-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENDHRAN",
        "first_name": "SHEILA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "P21485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.