Individual provider Active NPI

Alexis Sotis, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1275009912
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7598 Issued in AZ
Practice address
19646 N 27TH Ave Ste 305
Phoenix, AZ 85027-4027
Phone
(480) 556-0446
NPI assigned
Oct 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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 7598 AZ Primary

Addresses

Primary practice location

19646 N 27TH Ave Ste 305
Phoenix, AZ 85027-4027

Mailing address

19646 N 27TH Ave Ste 305
Phoenix, AZ 85027-4027
Phone (480) 556-0446

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
I20191114002152 AZ Practitioner - Physician Assistant 6406288307 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Lee Averitte Jr PLLCGroup PAC ID 9638069099, 31 clinicians

Practice addresses (Care Compare)

20401 N 73Rd St
Scottsdale, AZ 85255-4153
Phone (480) 556-0446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7598AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District CurrentSince Sep 15, 2019 Accepting new patients
Maricopa County Special Health Care District CurrentSince Sep 15, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Sep 15, 2019 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
District Medical Group, Inc CurrentSince Sep 15, 2019 Accepting new patients
Richard Lee Averitte Jr PLLC PastSince Oct 22, 2023 Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

Interoperability endpoints

  • Direct secure messaging: asotis@affderm.emadirect.md
  • Direct secure messaging: asotis214571@direct.valleywisehealth.org

Organizations & group practices 9

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": "1697760000000",
    "number": "1275009912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274027",
            "telephone_number": "480-556-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274027",
            "telephone_number": "480-556-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTIS",
        "first_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.