LOLA ACHILOVA (P.A.-C) – Medical Physician Assistant, NPI 1548546328

LOLA ACHILOVA (P.A.-C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA156316 (OR). The NPI Number for LOLA ACHILOVA (P.A.-C) is 1548546328

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
LOLA ACHILOVA (P.A.-C)
NPI
1548546328
Phone
Not provided
Address
PO BOX 3158
Enumeration Date
25 October 2011
Last Update Date
18 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034948311
Graduation Year
2011 (15 years ago)
PAC ID
7911174461
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20120124000443
Address ID
OR972393011PO3181XRDXX600
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for LOLA ACHILOVA (P.A.-C)

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • 1003 Providence Dr

    SUITE 210

    Newberg, OR 971327521

    Phone: (503) 537-5900

    Type: Location

  • 1400 SW 5TH AVE STE 500

    PORTLAND, OR 972015537

    Phone: (866) 617-6855

    Fax: (503) 346-8015

    Type: Mailing

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 418-4500

    Fax: (503) 494-1678

    Type: Location

  • 1003 PROVIDENCE DR

    SUITE 210

    NEWBERG, OR 971327521

    Phone: (503) 537-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120124000443IPhysician AssistantORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99421Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes4848$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880760107View full group profile

Reviews

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Frequently asked questions

Does LOLA ACHILOVA (P.A.-C) have a public NPI I can cite?
Public records show LOLA ACHILOVA (P.A.-C) under NPI 1548546328.
Is LOLA ACHILOVA (P.A.-C) currently accepting referrals based on NPI status?
Registry metadata lists LOLA ACHILOVA (P.A.-C) as active.
How should patients interpret LOLA ACHILOVA (P.A.-C)'s specialty?
The extract shows Medical Physician Assistant for LOLA ACHILOVA (P.A.-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to LOLA ACHILOVA (P.A.-C)?
LOLA ACHILOVA (P.A.-C) is associated with Portland, Oregon in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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