Vibha Sanwal, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C10006252 Issued in DE

Practice address

21141 Sterling Ave Unit 1
Georgetown, DE 19947-5571

Phone

(302) 856-6967

Fax

(302) 855-0744

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rainbow Pediatrics

  • Pediatrics Physician
  • Georgetown, DE
  • NPI 1013076991
  NPD Authorized official
• Advocare , LLC

  • Pediatrics Physician
  • Georgetown, DE
  • NPI 1306653001
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1710078050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SAVANNAH ROAD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584666",
            "telephone_number": "302-645-2241",
            "fax_number": "302-645-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21141 STERLING AVE UNIT 1",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199475571",
            "telephone_number": "302-856-6967",
            "fax_number": "302-855-0744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 SAVANNAH ROAD",
            "address_purpose": "LOCATION",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "country_code": "US",
            "telephone_number": "302-856-6967",
            "fax_number": "302-855-0744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANWAL",
        "first_name": "VIBHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10006252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710078050",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "205623737",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leena Samuel Saj, CRNP
• Jeffrey Salevan, LCDCIII
• Salvatore F Salfi, NP
• Marisel Santiago Gonzalez, M.D.
• Pankaj Sanwal, MD
• Stephanie Ann Sapp
• Deborah M Satterfield, RN
• Carolyn Savini, NP
• Kimberly Schaal
• Cristine Noel Schaar, RDH

• Pediatrics Physician in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Pediatrics Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.