DEEPTHY JOLAL NP
NPI 1881058238
Nurse Practitioner - Family in Phoenix, AZ
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Deepthy Jolal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, AZ 85303
- Reassigned Medicare billing, Arizona enrollment
- 166 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organization bills Medicare for Deepthy Jolal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deepthy Jolal reassigns Medicare benefits to Mountain Park Health Center (Glendale, AZ). The 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 Deepthy Jolal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Deepthy Jolal accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc 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.
# Deepthy Jolal, NP · NPI 1881058238
Family physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 12, 2016.
## Identity
- **NPI:** 1881058238 (Entity type: Individual)
- **Enumerated:** April 12, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP8609 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4204 W CACTUS RD, Phoenix, AZ 85029-2924
- **Phone:** (602) 547-5919
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mountain Park Health Center (NPI 1316637481, Glendale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 12, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1881058238) · Data from the CMS NPPES public registry.