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PHOENIX CHILDREN'S MEDICAL GROUP
NPI 1487814240
Clinic/Center - Multi-Specialty in Mesa, AZ

Active since June 13, 2008
5131 E SOUTHERN AVE, MESA, AZ 85206(602) 933-0002(602) 933-6216 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2023, Apr 21, 2022, Jul 9, 2019 and 3 more (6 updates tracked since 2016).

About Phoenix Children's Medical Group NPPES

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

PHOENIX CHILDREN'S MEDICAL GROUP (NPI 1487814240) is a healthcare organization registered as a multi-specialty in Mesa, Arizona and active in the NPI registry since June 2008. The organization lists Raheel Farough, Svp, Managed Care & Payer Strategy, as its authorized official.

NPPES Registry Identity

NPI1487814240
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePHOENIX CHILDREN'S MEDICAL GROUP
Location Address5131 E SOUTHERN AVEMesa, AZ 85206-2799
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008
Phone(602) 933-0002
Fax(602) 933-6216
Organization SubpartYesParent: Phoenix Children's Hospital, Inc.
Authorized OfficialRaheel FaroughSvp, Managed Care & Payer Strategy · (602) 933-3548
Enumeration DateJune 13, 2008
Last NPPES UpdateMay 22, 20236 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1487814240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in AZ · SH3107
5131 E SOUTHERN AVE, Mesa, AZ 85206
Open in Google Maps ↗

Other Identifiers 1

Medicaid876253AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 13

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

DR. MICHAEL HAYNES D.O.
Pediatrics
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
ADRIANNA SALAZAR CCC-SLP
Speech-Language Pathologist
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (480) 707-3322
KARL M. BAUMGARTNER MD
Pediatrics
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (480) 833-5437
PHOENIX CHILDREN'S HOSPITAL, INC.
Clinic/Center (Urgent Care)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
PHOENIX CHILDREN'S HOSPITAL, INC.
General Acute Care Hospital (Children)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
MCKENNA TAMMO PA-C
Physician Assistant
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002
JAMES ALTON WILLIAMS MD
Pediatrics (Pediatric Hematology-Oncology)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 546-0920
SANJAY J SHAH MD
Pediatrics (Pediatric Hematology-Oncology)
5131 E SOUTHERN AVE
MESA, AZ 85206
Maricopa County (602) 933-0002

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 Phoenix Children's Medical Group's NPI number?

The NPI number for Phoenix Children's Medical Group is 1487814240. It was assigned to this organization in the NPPES registry on June 13, 2008.

Where is Phoenix Children's Medical Group located?

Phoenix Children's Medical Group is located at 5131 E Southern Ave, Mesa, AZ 85206. The listed phone number is (602) 933-0002.

What is Phoenix Children's Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Phoenix Children's Medical Group accept?

Health plans from Medica list Phoenix Children's Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Children's Medical Group was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.