Individual provider Active NPI

Ryan Sobel, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1962477174
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD435149 Issued in PA
Practice address
833 Chestnut St
1St Floor
Philadelphia, PA 19107-4414
Phone
(215) 955-6776
Fax
(215) 955-4020
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA08428100 NJ
Obstetrics & Gynecology Physician 207V00000X 222228 NY
Obstetrics & Gynecology Physician 207V00000X MD435149 PA Primary

Addresses

Primary practice location

833 Chestnut St
1St Floor
Philadelphia, PA 19107-4414

Mailing address

833 Chestnut St
Concourse Level
Philadelphia, PA 19107-4414
Phone (215) 955-5000

Other practice location 1

1302 Wolf St
Philadelphia, PA 19148-2912
Phone (215) 955-5000

Other identifiers 3

IdentifierTypeStateIssuer
1028658330001MedicaidPA
02196207MedicaidNY
0166723MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131028000314 PA Practitioner - Obstetrics/Gynecology 1951476555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

834 Chestnut St
Philadelphia, PA 19107-5126
Phone (215) 955-6776

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA08428100NJMDObstetrics & Gynecology Physician
222228NYMDObstetrics & Gynecology Physician
MD435149PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Obstetrics & Gynecology CurrentSince Sep 30, 2013 Accepting new patients
Ny Downtown OB GYN Associates Obstetrics & Gynecology Past Accepting new patients
OB GYN Associates at Long Island College Hospital Obstetrics & Gynecology Past Accepting new patients
Jefferson University Physicians Past Accepting new patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology Past Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology Past Accepting new patients

Locations

834 Chestnut St
Ste 3
Philadelphia, PA 19107
Phone (215) 955-5000

834 Chestnut St
Ste 420
Philadelphia, PA 19107
Phone (215) 955-6692

833 Chestnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-1085

833 Chestnut St
Frnt 1
Philadelphia, PA 19107
Phone (215) 955-5000

1302 Wolf St
Philadelphia, PA 19148
Phone (215) 952-5170

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1962477174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "CONCOURSE LEVEL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-5000",
            "fax_number": "215-503-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074414",
            "telephone_number": "215-955-6776",
            "fax_number": "215-955-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 Wolf St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482912",
            "country_code": "US",
            "telephone_number": "215-955-5000",
            "fax_number": "215-952-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA08428100",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "222228",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD435149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028658330001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02196207",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166723",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.