AMERICAN FAMILY MEDICINE LLC
NPI 1164287124
Pediatrics in Phoenix, AZ
About American Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMERICAN FAMILY MEDICINE LLC (NPI 1164287124) is a healthcare organization registered as a pediatrics in Phoenix, Arizona and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Alejandro E Lopez, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
American Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to American Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (19)
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 03D2168693
American Family Medicine, LLC · Phoenix, AZFrequently 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 American Family Medicine LLC's NPI number?
The NPI number for American Family Medicine LLC is 1164287124. It was assigned to this organization in the NPPES registry on February 19, 2024.
Where is American Family Medicine LLC located?
American Family Medicine LLC is located at 5501 N 19th Ave Ste 218, Phoenix, AZ 85015. The listed phone number is (602) 413-0431.
What is American Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is American Family Medicine LLC enrolled in Medicare?
Yes. American Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through American Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to American Family Medicine LLC. 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. The largest specialties are Nurse Practitioner (14), Family Practice (3) and Cardiovascular Disease (Cardiology) (1). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does American Family Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2168693) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for American Family Medicine LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# American Family Medicine Llc · NPI 1164287124
Pediatrics organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since February 19, 2024.
## Identity
- **NPI:** 1164287124 (Entity type: Organization)
- **Enumerated:** February 19, 2024
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Alejandro Lopez, MEDICAL DIRECTOR
## Practice location
- **Address:** 5501 N 19TH AVE STE 218, Phoenix, AZ 85015-2452
- **Phone:** (602) 413-0431
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Family Practice (3), Cardiovascular Disease (Cardiology) (1); 10 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1164287124) · Data from the CMS NPPES public registry.