Organization Active NPI

Sasidhar Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1861311623
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SASIDHAR MEDICAL SUPPLIES LLC
Practice address
3101 N Central Ave Ste A220
Phoenix, AZ 85012-2645
Phone
(469) 891-4211
NPI assigned
Jul 14, 2026
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Sasidhar Reddy Nagella
Title
Owner
Phone
(469) 891-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3101 N Central Ave Ste A220
Phoenix, AZ 85012-2645

Mailing address

3101 N Central Ave Ste A220
Phoenix, AZ 85012-2645

National Provider Directory

National Provider Directory

Locations

3101 N Central Ave
Ste A220
Phoenix, AZ 85012

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1861311623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE A220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE A220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122645",
            "telephone_number": "469-891-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASIDHAR MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "NAGELLA",
        "authorized_official_first_name": "SASIDHAR REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-891-4211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.