Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Marie Rissi, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982101721

Kathleen Marie Rissi, DO is an Anesthesiology in Mesa, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2018, 8 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone: (480) 412-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1211 Medical Center Drive, Nashville, TN 37232 — (615) 936-1830

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 009945 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982101721
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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