Individual provider Active NPI

Kit Won Lai

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1063988798
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00556400 Issued in NJ
Practice address
13838 S 46TH PL Ste 125
Phoenix, AZ 85044-7802
Phone
(480) 783-7000
Fax
(480) 783-9071
NPI assigned
Oct 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 25MP00556400 NJ Primary

Addresses

Primary practice location

13838 S 46TH PL Ste 125
Phoenix, AZ 85044-7802

Mailing address

13838 S 46TH PL Ste 125
Phoenix, AZ 85044-7802
Phone (480) 783-7000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005001482 AZ Practitioner - Physician Assistant 4587095112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Gastrointestinal Associates PLCGroup PAC ID 6901054014, 36 clinicians

Practice addresses (Care Compare)

8761 E Bell Rd
Suite 105
Scottsdale, AZ 85260-1316
Phone (480) 219-6662

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00556400NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caring for Families PC Single Specialty CurrentSince Jun 15, 2025 Accepting new patients
Meridian Medical Group - Specialty Care, PC Single Specialty Past Accepting new patients

Locations

13838 S 46th Pl
Ste 125
Phoenix, AZ 85044
Phone (480) 783-7000

Interoperability endpoints

  • Direct secure messaging: kit.lai@direct.hackensackmeridian.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1063988798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447802",
            "telephone_number": "480-783-7000",
            "fax_number": "480-783-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447802",
            "telephone_number": "480-783-7000",
            "fax_number": "480-783-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "KIT",
        "middle_name": "WON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-20",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00556400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.