THE PEDIATRIC CENTER
NPI 1073528998
Pediatrics in Idaho Falls, ID
About The Pediatric Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE PEDIATRIC CENTER (NPI 1073528998) is a healthcare organization registered as a pediatrics in Idaho Falls, Idaho and active in the NPI registry since July 2006. The organization lists Michael Jude Pankau, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Pediatric Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to The Pediatric Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Medical Center For Children & Adolescents, PA's NPI number?
The NPI number for Medical Center For Children & Adolescents, PA is 1073528998. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as The Pediatric Center.
Where is Medical Center For Children & Adolescents, PA located?
Medical Center For Children & Adolescents, PA is located at 3430 Washington Pkwy, Idaho Falls, ID 83404. The listed phone number is (208) 523-3060.
What is Medical Center For Children & Adolescents, PA's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Medical Center For Children & Adolescents, PA enrolled in Medicare?
Yes. Medical Center For Children & Adolescents, PA is registered in the Medicare PECOS enrollment system.
When is Medical Center For Children & Adolescents, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Medical Center For Children & Adolescents, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Medical Center For Children & Adolescents, PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Medical Center For Children & Adolescents, PA accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Medical Center For Children & Adolescents, PA 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 Medical Center For Children & Adolescents, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# The Pediatric Center · NPI 1073528998
Pediatrics organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since July 29, 2006.
## Identity
- **NPI:** 1073528998 (Entity type: Organization)
- **Enumerated:** July 29, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Medical Center For Children & Adolescents, Pa
- **Organization subpart:** No
- **Authorized official:** Michael Pankau, PRESIDENT
## Practice location
- **Address:** 3430 WASHINGTON PKWY, Idaho Falls, ID 83404-7579
- **Phone:** (208) 523-3060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Pediatric Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 85456 (ID); Other 000010006561 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1073528998) · Data from the CMS NPPES public registry.