DR. SOPHIE ROSE LOEB MD
NPI 1215499504
Pediatrics in Phoenix, AZ

Q: What is Sophie Loeb's NPI number?

The NPI number for Sophie Loeb is 1215499504. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Q: What is Sophie Loeb's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sophie Loeb was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 04, 2019PECOS Enrolled

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Sophie Rose Loeb Md NPPES

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

DR. SOPHIE ROSE LOEB MD (NPI 1215499504) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (72975) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2019).

NPPES Registry Identity

NPI1215499504

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SOPHIE ROSE LOEBCredential: MD

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing Address4212 N 16th StPhoenix, AZ 85016-5319 · (602) 263-1200

Phone(602) 263-1200

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2019

Enumeration DateApril 4, 2019

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1215499504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AZ · 72975✔ Licensed in CA · A178026

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4212 N 16TH ST, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sophie Rose Loeb Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618322215

PECOS Enrollment IDI20260108002852

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sophie Loeb reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Same address

Public Health or Welfare

4212 N 16TH ST
Phoenix, AZ 85016

Reassigned Medicare billing, Texas enrollment
599 clinicians in this Medicare group

NPI 1083643738 (602) 263-1200

Banner Physician Super Specialists Arizona LLC

1.8 mi

Multi-Specialty

2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012

Reassigned Medicare billing, Arizona enrollment
188 clinicians in this Medicare group

NPI 1841573870 (602) 747-4000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)