Individual provider Active NPI

Catherine Elizabeth Zotovich, DNP, APRN FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1114685393
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
05028016230 Issued in AZ
Practice address
13869 W Bell Rd
Surprise, AZ 85374-2468
Phone
(623) 600-4466
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 05028016230 AZ Primary

Addresses

Primary practice location

13869 W Bell Rd
Surprise, AZ 85374-2468

Mailing address

13869 W Bell Rd Ste 103B
Surprise, AZ 85374-2468
Phone (623) 600-4466

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
I20240222001527 AZ Practitioner - Nurse Practitioner 0143664714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Khakwani and Mohammad Medical PCGroup PAC ID 8527412659, 13 clinicians

Practice addresses (Care Compare)

1500 S Watson Rd
Suite C104
Buckeye, AZ 85326-8689
Phone (623) 251-7559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
05028016230AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Khakwani and Mohammad Medical PC CurrentSince Dec 6, 2023 Accepting new patients
Khakwani and Mohammad Medical PC CurrentSince Dec 6, 2023 Accepting new patients
Khakwani and Mohammad Medical PC Current Accepting new patients
Khakwani and Mohammad Medical PC Past Accepting new patients

Locations

1500 S Watson Rd
Ste C104
Buckeye, AZ 85326
Phone (623) 251-7559

5270 W Baseline Rd
Ste 145
Laveen, AZ 85339
Phone (602) 675-2843

1310 E McKellips Rd
Ste 105B
Mesa, AZ 85203
Phone (480) 690-6959

20542 N Lake Pleasant Rd
Ste 115
Peoria, AZ 85382
Phone (623) 476-5820

3540 E Baseline Rd
Ste 130
Phoenix, AZ 85042
Phone (480) 899-0767

13869 W Bell Rd
Ste 103B
Surprise, AZ 85374
Phone (623) 600-4466

2460 Paseo Verde Pkwy
Ste 145
Henderson, NV 89074

Interoperability endpoints

  • Direct secure messaging: czotovich184838@pdshealth.direct-ci.com

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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1114685393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13869 W BELL RD STE 103B",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742468",
            "telephone_number": "623-600-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13869 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742468",
            "telephone_number": "623-600-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOTOVICH",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "DNP, APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "05028016230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.