Individual provider Active NPI

Lindsay N Kotal, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Castle Rock, CO
National Provider Identifier
1104360668
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.4789 Issued in CO
Practice address
1151 Aloha St
Ste 100
Castle Rock, CO 80108-2388
Phone
(720) 330-1305
Fax
(720) 452-2079
NPI assigned
Dec 16, 2016
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 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 Assistant 363AM0700X PA.4789 CO Primary

Addresses

Primary practice location

1151 Aloha St
Ste 100
Castle Rock, CO 80108-2388

Mailing address

1151 Aloha St
Ste 100
Castle Rock, CO 80108
Phone (720) 330-1305

Other practice location 1

14100 E Arapahoe Rd
Suite 170
Centennial, CO 80112-4028
Phone (303) 699-3190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170203000190 CO Practitioner - Physician Assistant 7911280631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1151 Aloha St
Suite 100
Castle Rock, CO 80108-2833
Phone (720) 330-1305

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.4789COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Apr 21, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Apr 21, 2025 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

1151 Aloha St
Ste 100
Castle Rock, CO 80108
Phone (720) 330-1305

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1104360668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 ALOHA ST",
            "address_2": "STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "720-330-1305",
            "fax_number": "720-452-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 ALOHA ST",
            "address_2": "STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801082388",
            "telephone_number": "720-330-1305",
            "fax_number": "720-452-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14100 E Arapahoe Rd",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801124028",
            "country_code": "US",
            "telephone_number": "303-699-3190",
            "fax_number": "303-699-3189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTAL",
        "first_name": "LINDSAY",
        "middle_name": "N",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.4789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.