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DESERT LOTUS CLINIC LLC
NPI 1205541455
Clinic/Center - Primary Care in Oro Valley, AZ

Active since January 20, 2023CLIA 03D2276359 · Waiver
1850 E INNOVATION PARK DR, ORO VALLEY, AZ 85755(520) 222-6997(833) 464-4301 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, Feb 14, 2023, Jan 20, 2023 (3 updates tracked since 2023).

About Desert Lotus Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESERT LOTUS CLINIC LLC (NPI 1205541455), doing business as Desert Lotus Clinic, is a healthcare organization registered as a primary care in Oro Valley, Arizona and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Nadia Poon-woo, Owner, as its authorized official.

NPPES Registry Identity

NPI1205541455
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDESERT LOTUS CLINIC LLC
Location Address1850 E INNOVATION PARK DROro Valley, AZ 85755-1963
Mailing Address1850 E Innovation Park DrOro Valley, AZ 85755-1963 · (520) 222-6997
Phone(520) 222-6997
Fax(833) 464-4301
Organization SubpartNo
Authorized OfficialNadia Poon-wooOwner · (520) 222-6997
Enumeration DateJanuary 20, 2023
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1205541455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
1850 E INNOVATION PARK DR, Oro Valley, AZ 85755
Open in Google Maps ↗

Other Names 1

Doing Business AsDesert Lotus Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desert Lotus Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Desert Lotus Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nadia Poon-Woo
Nurse Practitioner
NPI 1033757422
1850 E INNOVATION PARK DR
Oro Valley, AZ 85755
(520) 222-6997
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2276359

Desert Lotus Clinic · Oro Valley, AZ
Active · expires Feb 6, 2027
CLIA Number03D2276359
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorNadia E. Poon-Woo
Laboratory Phone(520) 222-6997
Laboratory LocationDesert Lotus Clinic1850 E Innovation Park Dr, Oro Valley, AZ 85755
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desert Lotus Clinic LLC's NPI number?

The NPI number for Desert Lotus Clinic LLC is 1205541455. It was assigned to this organization in the NPPES registry on January 20, 2023. The provider is doing business as Desert Lotus Clinic.

Where is Desert Lotus Clinic LLC located?

Desert Lotus Clinic LLC is located at 1850 E Innovation Park Dr, Oro Valley, AZ 85755. The listed phone number is (520) 222-6997.

What is Desert Lotus Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Desert Lotus Clinic LLC enrolled in Medicare?

Yes. Desert Lotus Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Lotus Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Desert Lotus Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Desert Lotus Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2276359) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Lotus Clinic LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.