Individual provider Active NPI

Patricia Lowe Sepulveda, M D

  • Family Medicine Physician
  • Maricopa, AZ
National Provider Identifier
1760644710
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45209 Issued in AZ
Practice address
20750 N John Wayne Pkwy
Maricopa, AZ 85139-5882
Phone
(152) 023-3246
NPI assigned
Jul 1, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45209 AZ Primary

Addresses

Primary practice location

20750 N John Wayne Pkwy
Maricopa, AZ 85139-5882

Mailing address

20750 N John Wayne Pkwy
Maricopa, AZ 85139-5882
Phone (520) 233-2465

Other practice location 1

1676 E McMurray Blvd
Suite 1
Casa Grande, AZ 85122-4798
Phone (520) 316-0688 ext. 6777

Other identifiers 1

IdentifierTypeStateIssuer
Z180063OtherAZPTAN

Other names 1

  • Patricia Lowe Reimer Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000903 AZ Practitioner - Family Practice 0042496507 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45209AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care CurrentSince May 10, 2022 Accepting new patients
Emergency Physicians Southwest, PC CurrentSince Jan 1, 2017 Accepting new patients
Chandler Regional Medical Center Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

4545 E Chandler Blvd
Phoenix, AZ 85048
Phone (480) 728-4000

File 56224
Los Angeles, CA 90074

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760644710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20750 N JOHN WAYNE PKWY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851395882",
            "telephone_number": "520-233-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20750 N JOHN WAYNE PKWY",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851395882",
            "telephone_number": "152-023-3246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1676 E McMurray Blvd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224798",
            "country_code": "US",
            "telephone_number": "520-316-0688 x6777",
            "fax_number": "520-316-0701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "PATRICIA",
        "middle_name": "LOWE",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "45209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z180063",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "REIMER",
            "middle_name": "LOWE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.