SKYLINE PEDIATRICS PC
NPI 1184948416
Pediatrics in Tucson, AZ

Q: What is Skyline Pediatrics Professional Corporation's specialty?

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

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: August 09, 2026.

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

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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.

NPPES Registry Identity

NPI1184948416

Entity TypeOrganization

Primary Taxonomy208000000X

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

Phone(520) 577-3333

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.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AZ · 33544✔ Licensed in AZ · 40475

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.

4930 N 1ST AVE, Tucson, AZ 85718

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Other Names 1

Doing Business AsSkyline Pediatrics Pc

Other Identifiers 2

Medicaid932617AZ

Medicaid355175AZ

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 03D1047783

Skyline Pediatrics, PC · Tucson, AZ

Active · expires Nov 13, 2027

CLIA Number03D1047783

Laboratory TypePhysician Office

Certificate Effective DateNovember 14, 2025

Certificate Expiration DateNovember 13, 2027

Laboratory DirectorBrice D. Kopas MD

Laboratory Phone(520) 577-3333

Laboratory LocationSkyline Pediatrics, PC4930 N First Ave, Tucson, AZ 85718

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MRS. LISA LINETTE SATHRE MD

Pediatrics