Active NPI
Despina Lozevski, PA-C
- Physician Assistant
- Surprise, AZ
National Provider Identifier
1144981085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8916
- Practice address
- 16815 W Bell Rd
Surprise, AZ 85374-2101 - Phone
- (623) 244-2400
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 8916 | AZ | |
| Physician Assistant | 363A00000X | 8916 | AZ | Primary |
Addresses
Primary practice location
16815 W Bell Rd
Surprise, AZ 85374-2101
Mailing address
12621 W Morning Vista Dr
Peoria, AZ 85383-2442
Phone (602) 989-3715
Other practice location 1
12621 W Morning Vista Dr
Peoria, AZ 85383-2442
Phone (602) 989-3715
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8916 | AZ | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1215275433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1144981085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12621 W MORNING VISTA DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853832442",
"telephone_number": "602-989-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16815 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742101",
"telephone_number": "623-244-2400"
}
],
"practiceLocations": [
{
"address_1": "12621 W Morning Vista Dr",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853832442",
"country_code": "US",
"telephone_number": "602-989-3715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOZEVSKI",
"first_name": "DESPINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "8916",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "8916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.