Individual provider Active NPI

Velika Lotwala, PA-C

  • Physician Assistant
  • Peoria, AZ
National Provider Identifier
1619418571
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6670 Issued in AZ
Practice address
7767 W Deer Valley Rd Ste 140
Peoria, AZ 85382-2103
Phone
(623) 487-3003
NPI assigned
Mar 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6670 AZ Primary

Addresses

Primary practice location

7767 W Deer Valley Rd Ste 140
Peoria, AZ 85382-2103

Mailing address

7300 Ranch Road 2222, Building 1, Ste 200
Austin, TX 78730
Phone (512) 628-0465

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
I20170706002421 AZ Practitioner - Physician Assistant 2264701234 Reassigns benefits to 1 organization

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
Epiphany Dermatology of Arizona LLCGroup PAC ID 9830181361, 26 clinicians

Practice addresses (Care Compare)

7767 W Deer Valley Rd
Suite 140
Peoria, AZ 85382-2103
Phone (623) 487-3003

Merit-based Incentive Payment System (MIPS)

Final score
82.18 of 100Reported as group
Quality
65.23
Promoting interoperability
100
Improvement activities
40
Cost
75.35

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: velikalotwala@epiphanyaz.emadirect.md
  • Direct secure messaging: velikalotwala@epiphanyderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1619418571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BUILDING 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "512-628-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7767 W DEER VALLEY RD STE 140",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822103",
            "telephone_number": "623-487-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTWALA",
        "first_name": "VELIKA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-12",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.