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GLENDALE PEDIATRICS LLC
NPI 1336335983
Family Medicine in Glendale, AZ

Active since September 18, 2007
6745 N 51ST DR, GLENDALE, AZ 85301(623) 847-5300(623) 847-5304 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 13, 2024, Oct 30, 2019, Aug 27, 2018 (3 updates tracked since 2018).

About Glendale Pediatrics Llc NPPES

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

GLENDALE PEDIATRICS LLC (NPI 1336335983) is a healthcare organization registered as a family medicine in Glendale, Arizona and active in the NPI registry since September 2007. The organization lists Enrique Sion Lopez, Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1336335983
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLENDALE PEDIATRICS LLC
Location Address6745 N 51ST DRGlendale, AZ 85301-3425
Mailing Address6745 N 51st DrGlendale, AZ 85301-3425 · (623) 847-5300
Phone(623) 847-5300
Fax(623) 847-5304
Organization SubpartNo
Authorized OfficialEnrique Sion LopezMedical Officer · (623) 847-5300
Enumeration DateSeptember 18, 2007
Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1336335983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6745 N 51ST DR, Glendale, AZ 85301
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Other Identifiers 1

Medicaid292340AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20090112000153Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Glendale Pediatrics LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Enrique Lopez, M.D.
Pediatric Medicine
NPI 1578572087
6745 N 51ST DR
Glendale, AZ 85301
(623) 847-5300
✔ PECOS✔ Accepts MedicareSame address
Diana Noriega, FNP-C
Nurse Practitioner
NPI 1326522921
5002 W GLENDALE AVE STE 104
Glendale, AZ 85301
(623) 847-5300
✔ PECOS✔ Accepts Medicare0.2 mi
Araceli Rangel, NP-C
Nurse Practitioner
NPI 1437823945
6678 W THUNDERBIRD RD
Glendale, AZ 85306
(602) 978-1500
✔ PECOS✔ Accepts Medicare5.5 mi

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

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 Glendale Pediatrics LLC's NPI number?

The NPI number for Glendale Pediatrics LLC is 1336335983. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Glendale Pediatrics LLC located?

Glendale Pediatrics LLC is located at 6745 N 51st Dr, Glendale, AZ 85301. The listed phone number is (623) 847-5300.

What is Glendale Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Glendale Pediatrics LLC enrolled in Medicare?

Yes. Glendale Pediatrics LLC is registered in the Medicare PECOS enrollment system.

When is Glendale Pediatrics LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Glendale Pediatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Glendale Pediatrics LLC, in Nurse Practitioner and Pediatric Medicine. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glendale Pediatrics LLC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.