DR. JOHN EDWARD LANE M.D.
NPI 1477628824
Pediatrics - Pediatric Critical Care Medicine in Phoenix, AZ

Q: What is John Lane's NPI number?

The NPI number for John Lane is 1477628824. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is John Lane's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for John Lane was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 21, 2006PECOS Enrolled

1919 E THOMAS RD, MAIN BUILDING, PHOENIX, AZ 85016(602) 933-2311(602) 933-4269 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, Mar 23, 2018, Jan 17, 2018 (3 updates tracked since 2018).

On this page

About Dr. John Edward Lane M.d. NPPES

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

DR. JOHN EDWARD LANE M.D. (NPI 1477628824) is an individual pediatric critical care medicine provider in Phoenix, Arizona, licensed in Arizona (40566) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477628824

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. JOHN EDWARD LANECredential: M.D.

Location Address1919 E THOMAS RD, MAIN BUILDINGPhoenix, AZ 85016-7710

Mailing Address2108 E Thomas RdPhoenix, AZ 85016-7761 · (602) 933-3124

Phone(602) 933-2311

Fax(602) 933-4269

Sole ProprietorNo

Enumeration DateNovember 21, 2006

Last NPPES UpdateJune 25, 20253 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1477628824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in AZ · 40566

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 40566 (AZ)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 40566 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Edward Lane M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Leave this field empty

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.

DR. TIMUR RAGHIB M.D.

Hospitalist