Active NPI
Sajid Ahmed Ravasia, M.D.
- Psychiatry Physician
- Spokane, WA
National Provider Identifier
1528015146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00045273
- Practice address
- 105 W 8TH Ave
Suite 450E
Spokane, WA 99204-2302 - Phone
- (509) 474-6920
- NPI assigned
- May 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00045273 | WA | Primary |
Addresses
Primary practice location
105 W 8TH Ave
Suite 450E
Spokane, WA 99204-2302
Mailing address
PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455
Other practice location 1
101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 919-4060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8439689 | Medicaid | WA | |
| AB32999 | Other | WA | MEDICARE GROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sravasia214347@wm.providencedirect.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Current | Accepting new patients |
Locations
1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800
127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550
24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898
Interoperability endpoints
- sravasia214347@wm.providencedirect.org
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.
-
- Gastroenterology Physician
- Butler, PA
- NPI 1619493046
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
- Dermatology Physician
- Butler, PA
- NPI 1609190339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1528015146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 421",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190421",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 8TH AVE",
"address_2": "SUITE 450E",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042302",
"telephone_number": "509-474-6920"
}
],
"practiceLocations": [
{
"address_1": "101 W 8th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042307",
"country_code": "US",
"telephone_number": "509-919-4060",
"fax_number": "509-474-3014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAVASIA",
"first_name": "SAJID",
"middle_name": "AHMED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00045273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8439689",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "AB32999",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sravasia214347@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "101 W 8th Ave",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992042307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.