SKYLINE PEDIATRICS PC
NPI 1184948416
Pediatrics in Tucson, AZ

Active since March 15, 2010CLIA 03D1047783 · Waiver
4930 N 1ST AVE, TUCSON, AZ 85718(520) 577-3333(520) 577-4685 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2024, Mar 15, 2019 (2 updates tracked since 2019).

About Skyline Pediatrics Pc NPPES

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

SKYLINE PEDIATRICS PC (NPI 1184948416) is a healthcare organization registered as a pediatrics in Tucson, Arizona and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Brice Kopas, President, as its authorized official.Information from the official NPPES registry record, last updated November 12, 2024.

NPPES Registry Identity

NPI1184948416
Entity TypeOrganization
Legal Business NameSKYLINE PEDIATRICS PROFESSIONAL CORPORATION
Location Address4930 N 1ST AVETucson, AZ 85718-5615
Mailing Address4930 N 1st AveTucson, AZ 85718-5615 · (520) 577-3333 · Fax (520) 577-4685
Fax(520) 577-4685
Organization SubpartNo
Authorized OfficialBrice KopasPresident · (520) 834-5020
Enumeration DateMarch 15, 2010
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPI 1184948416 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pediatrics

Taxonomy 208000000X · Allopathic & Osteopathic Physicians

Licensed in AZ · 33544 Licensed in AZ · 40475

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… Show more

4930 N 1ST AVE, Tucson, AZ 85718

Also on File with NPPES

Other Names1
Skyline Pediatrics Pc (Doing Business As)
Other Identifiers2
932617 (Medicaid, AZ)
355175 (Medicaid, AZ)
Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X MULTIPLE SINGLE SPECIALTY GROUP)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1047783
Facility Type
Physician Office
Certificate Effective Date
November 14, 2025
Certificate Expiration Date
November 13, 2027
Laboratory Director
BRICE D. KOPAS MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Skyline Pediatrics Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SKYLINE PEDIATRICS PC

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pediatrics
4930 N 1ST AVE
TUCSON, AZ 85718
Pediatrics
4930 N 1ST AVE
TUCSON, AZ 85718
Pediatrics
4930 N 1ST AVE
TUCSON, AZ 85718
Nurse Practitioner (Pediatrics)
4930 N 1ST AVE
TUCSON, AZ 85718
Clinic/Center (Physical Therapy)
4930 N 1ST AVE
TUCSON, AZ 85718
Physical Therapist
4930 N 1ST AVE
TUCSON, AZ 85718
Pediatrics
4930 N 1ST AVE
TUCSON, AZ 85718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184948416, enumerated as an "organization" on March 15, 2010.

The provider is located at 4930 N 1ST AVE TUCSON, AZ 85718 and the phone number is (520) 577-3333.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to verify.