ST. JUDE'S FAMILY AND PEDIATRIC CLINIC PLLC
NPI 1023775905
Pediatrics in El Paso, TX
About St. Jude's Family And Pediatric Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. JUDE'S FAMILY AND PEDIATRIC CLINIC PLLC (NPI 1023775905) is a healthcare organization registered as a pediatrics in El Paso, Texas and active in the NPI registry since November 2021. The organization lists Annette C Griego, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Jude's Family And Pediatric Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to St. Jude's Family And Pediatric Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 St. Jude's Family And Pediatric Clinic PLLC's NPI number?
The NPI number for St. Jude's Family And Pediatric Clinic PLLC is 1023775905. It was assigned to this organization in the NPPES registry on November 26, 2021.
Where is St. Jude's Family And Pediatric Clinic PLLC located?
St. Jude's Family And Pediatric Clinic PLLC is located at 5140 Montana Ave, El Paso, TX 79903. The listed phone number is (915) 544-8844.
What is St. Jude's Family And Pediatric Clinic PLLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is St. Jude's Family And Pediatric Clinic PLLC enrolled in Medicare?
Yes. St. Jude's Family And Pediatric Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St. Jude's Family And Pediatric Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to St. Jude's Family And Pediatric Clinic PLLC, in Chiropractic and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does St. Jude's Family And Pediatric Clinic PLLC accept?
Health plans from WellPoint list St. Jude's Family And Pediatric Clinic PLLC 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 St. Jude's Family And Pediatric Clinic PLLC was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# St. Jude's Family And Pediatric Clinic Pllc · NPI 1023775905
Pediatrics organization in El Paso, Texas. Organization record, active in the CMS NPPES registry since November 26, 2021.
## Identity
- **NPI:** 1023775905 (Entity type: Organization)
- **Enumerated:** November 26, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Annette Griego, CEO
## Practice location
- **Address:** 5140 MONTANA AVE, El Paso, TX 79903-4904
- **Phone:** (915) 544-8844
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023775905) · Data from the CMS NPPES public registry.