DEEPTHY JOLAL NP
NPI 1881058238
Nurse Practitioner - Family in Phoenix, AZ

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4204 W CACTUS RD, PHOENIX, AZ 85029(602) 547-5919 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deepthy Jolal Np NPPES

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

DEEPTHY JOLAL NP (NPI 1881058238) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP8609) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1881058238
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEEPTHY JOLALCredential: NP
Location Address4204 W CACTUS RDPhoenix, AZ 85029-2924
Mailing Address5542 W Cavedale DrPhoenix, AZ 85083-6369 · (623) 337-1146
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 12, 2016
NPI 1881058238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP8609
4204 W CACTUS RD, Phoenix, AZ 85029

Accepted 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

Deepthy Jolal Np 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 ID3274832050
PECOS Enrollment IDI20160428001737
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85029 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Primary Care)
4204 W CACTUS RD
PHOENIX, AZ 85029
Nurse Practitioner (Family)
4204 W CACTUS RD
PHOENIX, AZ 85029

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 Deepthy Jolal's NPI number?

The NPI number for Deepthy Jolal is 1881058238. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Deepthy Jolal located?

Deepthy Jolal practices at 4204 W Cactus Rd, Phoenix, AZ 85029. The listed phone number is (602) 547-5919.

What is Deepthy Jolal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deepthy Jolal enrolled in Medicare?

Yes. Deepthy Jolal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Deepthy Jolal accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Deepthy Jolal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deepthy Jolal was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.