Individual provider Active NPI

Sasi Krishna Ghanta, MD

  • Family Medicine Physician
  • Peoria, AZ
National Provider Identifier
1114219789
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44088 Issued in AZ
Practice address
26900 N Lake Pleasant Pkwy Ste 210
Peoria, AZ 85383-1558
Phone
(623) 561-3000
Fax
(623) 561-3009
NPI assigned
May 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44088 AZ Primary

Addresses

Primary practice location

26900 N Lake Pleasant Pkwy Ste 210
Peoria, AZ 85383-1558

Mailing address

26900 N Lake Pleasant Pkwy Ste 210
Peoria, AZ 85383-1558
Phone (623) 561-3000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000004 AZ Practitioner - Family Practice 7416128061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

3125 N Dysart Rd
Avondale, AZ 85392-1208
Phone (623) 882-9161

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

525 S Watson Rd
Suite 200
Buckeye, AZ 85326-3451
Phone (602) 726-8750

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44088AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Jul 6, 2015 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jul 6, 2015 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center Past Accepting new patients

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

525 S Watson Rd
Ste 200
Buckeye, AZ 85326
Phone (602) 726-8750

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEAIAA
  • Direct secure messaging: sasi.ghanta.1@600.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1114219789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 N LAKE PLEASANT PKWY STE 210",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831558",
            "telephone_number": "623-561-3000",
            "fax_number": "623-561-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 N LAKE PLEASANT PKWY STE 210",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831558",
            "telephone_number": "623-561-3000",
            "fax_number": "623-561-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANTA",
        "first_name": "SASI",
        "middle_name": "KRISHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "44088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.