Organization Active NPI

Sodel Pulmonary Center, LLC

  • Pulmonary Disease Physician
  • Georgetown, DE
National Provider Identifier
1992405328
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SODEL PULMONARY CENTER, LLC
Practice address
20163 Office Cir
Georgetown, DE 19947-3197
Phone
(302) 515-9666
Fax
(833) 449-5068
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Sara Tibbett-Wright, DBA, MSM-HCA, RRT
Title
Managing Partner
Phone
(302) 515-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

20163 Office Cir
Georgetown, DE 19947-3197

Mailing address

20163 Office Cir
Georgetown, DE 19947-0849
Phone (302) 515-9666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231205002574 DE Part B Supplier - Clinic/Group Practice 4688023484 Receives reassigned benefits from 2 practitioners
Practice locations: Georgetown, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1992405328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20163 OFFICE CIR",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199470849",
            "telephone_number": "302-515-9666",
            "fax_number": "833-449-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20163 OFFICE CIR",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199473197",
            "telephone_number": "302-515-9666",
            "fax_number": "833-449-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SODEL PULMONARY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "TIBBETT-WRIGHT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "302-515-9666",
        "authorized_official_credential": "DBA, MSM-HCA, RRT"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.