1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Pediatrics
  6. NPI Profile

AZ NICU GROUP PLLC
NPI 1063127769
Pediatrics - Neonatal-Perinatal Medicine in Mesa, AZ

Active since January 17, 2023
1301 S CRISMON RD, MESA, AZ 85209(480) 906-7449 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Az Nicu Group Pllc NPPES

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

AZ NICU GROUP PLLC (NPI 1063127769) is a healthcare organization registered as a neonatal-perinatal medicine in Mesa, Arizona and active in the NPI registry since January 2023. The organization lists Latha Kumaraswamy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063127769
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameAZ NICU GROUP PLLC
Location Address1301 S CRISMON RDMesa, AZ 85209-3767
Mailing Address862 E Naranja DrOro Valley, AZ 85737-8642
Phone(480) 906-7449
Organization SubpartNo
Authorized OfficialLatha KumaraswamyCeo · (520) 604-3148
Enumeration DateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1063127769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1301 S CRISMON RD, Mesa, AZ 85209
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

STEWARD RADIOLOGY PHYSICIANS OF ARIZONA INC
Radiology (Diagnostic Radiology)
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
JUANCHO C. DEPAOLO CRNA
Nurse Anesthetist, Certified Registered
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (800) 402-0881
VERACIAN HEALTHCARE PLC
Internal Medicine
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 275-4998
DR. WESLEY DAVID HIGH D.O
Surgery
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
COOPER JOHNSTON D.O.
Family Medicine
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
RESHMA PINNAMANENI DO
Student in an Organized Health Care Education/Training Program
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (863) 991-0400
SAMEEHA KHALID DO
Internal Medicine (Gastroenterology)
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 358-6100
DANIEL WAHLIN
Student in an Organized Health Care Education/Training Program
1301 S CRISMON RD
MESA, AZ 85209
Maricopa County (480) 373-2376

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 Az Nicu Group PLLC's NPI number?

The NPI number for Az Nicu Group PLLC is 1063127769. It was assigned to this organization in the NPPES registry on January 17, 2023.

Where is Az Nicu Group PLLC located?

Az Nicu Group PLLC is located at 1301 S Crismon Rd, Mesa, AZ 85209. The listed phone number is (480) 906-7449.

What is Az Nicu Group PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Az Nicu Group PLLC was last updated on January 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.