DEMIANA MARIE KOLTA PA
NPI 1821709833
Physician Assistant in Goodyear, AZ

Q: What is Demiana Kolta's NPI number?

The NPI number for Demiana Kolta is 1821709833. It was assigned to this individual provider in the NPPES registry on December 9, 2022.

Q: What is Demiana Kolta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Demiana Kolta was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since December 09, 2022PECOS EnrolledAccepts Medicare Assignment

14445 W MCDOWELL RD STE A104, GOODYEAR, AZ 85395(480) 561-5000(480) 984-4066 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Demiana Marie Kolta Pa NPPES

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

DEMIANA MARIE KOLTA PA (NPI 1821709833) is an individual physician assistant in Goodyear, Arizona, licensed in Arizona (9992) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821709833

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDEMIANA MARIE KOLTACredential: PA

Location Address14445 W MCDOWELL RD STE A104Goodyear, AZ 85395-2518

Mailing Address14445 W Mcdowell Rd Ste A104Goodyear, AZ 85395-2518 · (480) 561-5000 · Fax (480) 984-4066

Phone(480) 561-5000

Fax(480) 984-4066

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 9, 2022

Last NPPES UpdateSeptember 21, 2023

NPPES CertifiedSeptember 21, 2023

✔ NPI 1821709833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 9992

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

14445 W MCDOWELL RD STE A104, Goodyear, AZ 85395

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Secondary Practice Location 1

Location 16320 W Union Hills Dr Ste A270Glendale, AZ 85308-7175 · Phone (480) 561-5000 · Fax (480) 984-4066

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Demiana Marie Kolta Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507211968

PECOS Enrollment IDI20231005000553

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

245 services124 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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