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

Sasikanth Nagisetty Ravi, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992334163

Sasikanth Nagisetty Ravi, DO is an Internal Medicine in Glendale, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2020, 6 years ago. Practices with Saint Peters University Hospital, a 157-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ
In the registry since
2020
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

18701 N 67th Ave
Glendale, AZ 85308-7100
Phone: (623) 561-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence R3455 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1992334163
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 8, 2020
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022
Mailing address5021 N 81st Ave, Glendale, AZ 85303-5505

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Saint Peters University Hospital — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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