Organization Active NPI

Lotus LLC

Doing business as Southwest Dermatology

  • Dermatology Physician
  • Santa Fe, NM
National Provider Identifier
1124997812
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LOTUS LLC
Doing business as
Southwest Dermatology
Practice address
2945 Rodeo Park Dr E Unit 5
Santa Fe, NM 87505-6312
Phone
(505) 416-8484
Fax
(505) 702-8556
NPI assigned
Nov 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Trisha Jayantilal Patel, MDNPI 1053731927
Title
Owner
Phone
(505) 416-8484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2945 Rodeo Park Dr E Unit 5
Santa Fe, NM 87505-6312

Mailing address

3480 Todos Santos St Apt C304
Santa Fe, NM 87507-6212
Phone (505) 416-8484

Other names 1

  • Southwest Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218002449 NM Part B Supplier - Clinic/Group Practice 1052806908 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2337306Southwest Dermatology2945 Rodeo Park Drive East, Suite 5, Santa Fe, NM 87505Certificate of waiverJan 20, 2028

National Provider Directory

National Provider Directory

Locations

2945 Rodeo Park Dr E
Unit 5
Santa Fe, NM 87505
Phone (505) 303-0564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1124997812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 TODOS SANTOS ST APT C304",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875076212",
            "telephone_number": "505-416-8484",
            "fax_number": "505-702-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 RODEO PARK DR E UNIT 5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056312",
            "telephone_number": "505-416-8484",
            "fax_number": "505-702-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-01",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_middle_name": "JAYANTILAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-416-8484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.