ROADRUNNER PEDIATRICS
NPI 1083447692
Pediatrics in Tucson, AZ

Active since August 21, 2024
105 S HOUGHTON RD STE 101, TUCSON, AZ 85748(520) 979-0550 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Aug 21, 2024 (2 updates tracked since 2024).

About Roadrunner Pediatrics NPPES

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

ROADRUNNER PEDIATRICS (NPI 1083447692) is a healthcare organization registered as a pediatrics in Tucson, Arizona and active in the NPI registry since August 2024. The organization lists Sandra Herron, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1083447692
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameROADRUNNER PEDIATRICS
Location Address105 S HOUGHTON RD STE 101Tucson, AZ 85748-6732
Mailing Address105 S Houghton Rd Ste 101Tucson, AZ 85748-6732 · (520) 438-5449
Organization SubpartNo
Authorized OfficialSandra HerronOwner/md · (520) 979-0550
Enumeration DateAugust 21, 2024
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1083447692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
105 S HOUGHTON RD STE 101, Tucson, AZ 85748

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

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)

Roadrunner Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Roadrunner Pediatrics, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pediatric Medicine
NPI 1144295890
105 S HOUGHTON RD STE 101
Tucson, AZ 85748
(520) 345-3645
✔ PECOSSame address
Pediatric Medicine
NPI 1033102843
105 S HOUGHTON RD STE 101
Tucson, AZ 85748
(520) 438-5449
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2312599

Roadrunner Pediatrics · Tucson, AZ
Expired · Oct 14, 2026
CLIA Number03D2312599
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorSandra Herron
Laboratory Phone(520) 438-5449
Laboratory LocationRoadrunner Pediatrics105 S Houghton Rd Ste 101, Tucson, AZ 85748
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Roadrunner Pediatrics's NPI number?

The NPI number for Roadrunner Pediatrics is 1083447692. It was assigned to this organization in the NPPES registry on August 21, 2024.

Where is Roadrunner Pediatrics located?

Roadrunner Pediatrics is located at 105 S Houghton Rd Ste 101, Tucson, AZ 85748. The listed phone number is (520) 979-0550.

What is Roadrunner Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Roadrunner Pediatrics enrolled in Medicare?

Yes. Roadrunner Pediatrics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roadrunner Pediatrics?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Roadrunner Pediatrics. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Roadrunner Pediatrics accept?

Health plans from Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. list Roadrunner Pediatrics 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 Roadrunner Pediatrics was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.