Active NPI
Sandhya Ravi, MD
- Pediatrics Physician
- Peoria, AZ
National Provider Identifier
1093701286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34320
- Practice address
- 9059 W Lake Pleasant Pkwy
Ste E 540
Peoria, AZ 85382-8336 - Phone
- (623) 322-3380
- Fax
- (623) 322-4399
- NPI assigned
- Sep 22, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34320 | AZ | Primary |
Addresses
Primary practice location
9059 W Lake Pleasant Pkwy
Ste E 540
Peoria, AZ 85382-8336
Mailing address
9059 W Lake Pleasant Pkwy
Ste E 540
Peoria, AZ 85382-8336
Phone (623) 322-3380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34320 | Other | AZ | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250604000108 | AZ | Order and Referring Only - Pediatric Medicine | 9638584477 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34320 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Estrella Medical Center | Past | Accepting new patients | |
| VHS of Arrowhead, Inc | Past | Accepting new patients | |
| Pleasant Pediatrics | Pediatrics | Past | Accepting new patients |
| Pleasant Pediatrics PLC | Pediatrics | Past | Accepting new patients |
| Pleasant Pediatrics PLC | Pediatrics | Past | Accepting new patients |
| Pleasant Pediatrics PLC | Pediatrics | Past | Accepting new patients |
| Pleasant Pediatrics PLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1093701286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9059 W LAKE PLEASANT PKWY",
"address_2": "STE E 540",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853828336",
"telephone_number": "623-322-3380",
"fax_number": "623-322-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9059 W LAKE PLEASANT PKWY",
"address_2": "STE E 540",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853828336",
"telephone_number": "623-322-3380",
"fax_number": "623-322-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVI",
"first_name": "SANDHYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "34320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "34320",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.