1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Clinic Center
  6. NPI Profile

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: November 01, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Children's Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,411

Medicare enrollment records show 1,411 clinicians reassign Medicare billing to Phoenix Children's Medical Group, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 63 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 60

Pediatric Medicine302
Nurse Practitioner248
Hospitalist84
Anesthesiology64
Emergency Medicine53
Registered Dietitian or Nutrition Professional44
Clinical Psychologist39
Neurology37
52 other specialties540

Nearest to this location (20)

See all 1,411
Smita Bailey, MD
Diagnostic Radiology
NPI 1972559946
5131 E SOUTHERN AVE
Mesa, AZ 85206
(480) 833-5437
✔ PECOS✔ Accepts MedicareSame address
Karl Baumgartner, MD
Pediatric Medicine
NPI 1174522890
5131 E SOUTHERN AVE
Mesa, AZ 85206
(480) 833-5437
✔ PECOSSame address
Kimberly Jones
Registered Dietitian or Nutrition Professional
NPI 1811452014
5131 E SOUTHERN AVE
Mesa, AZ 85206
(602) 933-0418
Same address
Sanjay Shah, MD
Hematology/Oncology
NPI 1740263474
5131 E SOUTHERN AVE
Mesa, AZ 85206
(602) 933-0002
✔ PECOS✔ Accepts MedicareSame address
James Williams, MD
Hematology
NPI 1316930837
5131 E SOUTHERN AVE
Mesa, AZ 85206
(602) 546-0920
✔ PECOS✔ Accepts MedicareSame address
Ginger Carlson, PHD
Clinical Psychologist
NPI 1881722692
5131 E SOUTHERN AVE
Mesa, AZ 85206
(480) 833-5437
✔ PECOS✔ Accepts MedicareSame address
Michael Pachtman, M.D.
Ophthalmology
NPI 1104819804
1220 S HIGLEY RD STE 106
Mesa, AZ 85206
(480) 835-0709
✔ PECOS0.1 mi
Mark Salevitz, M.D.
Ophthalmology
NPI 1902896442
1220 S HIGLEY RD STE 106
Mesa, AZ 85206
(602) 933-3937
✔ PECOS0.1 mi
Emily Shortridge
Ophthalmology
NPI 1447514450
1220 S HIGLEY RD STE 106
Mesa, AZ 85206
(602) 933-3937
✔ PECOS✔ Accepts Medicare0.1 mi
Timothy Hug, OD
Optometry
NPI 1780641910
1220 S HIGLEY RD STE 106
Mesa, AZ 85206
(602) 933-3937
✔ PECOS✔ Accepts Medicare0.1 mi
Sheila O'donnell, FNP
Nurse Practitioner
NPI 1154847309
1920 N HIGLEY RD STE 108
Gilbert, AZ 85234
(480) 256-6444
✔ PECOS✔ Accepts Medicare0.6 mi
Jessica Bodea, M.D.
Hematology/Oncology
NPI 1396199048
4824 E BASELINE RD STE 125
Mesa, AZ 85206
(480) 839-4848
✔ PECOS1.1 mi
Robin Laks, M.D.
Pediatric Medicine
NPI 1003888751
2550 E GUADALUPE RD #115
Gilbert, AZ 85234
(480) 214-2300
✔ PECOS2.1 mi
Todd Gardner
Pediatric Medicine
NPI 1982124194
2550 E GUADALUPE RD
Gilbert, AZ 85234
(602) 933-4395
✔ PECOS2.1 mi
Ivia Hess, M.D.
Pediatric Medicine
NPI 1972572832
2550 E GUADALUPE RD STE 115
Gilbert, AZ 85234
(480) 632-1544
✔ PECOS2.1 mi
Ashley Navarro, M.D.
Pediatric Medicine
NPI 1982010765
2550 E GUADALUPE RD STE 115
Gilbert, AZ 85234
(480) 632-1544
✔ PECOS2.1 mi
Priya Patel, MD
Pediatric Medicine
NPI 1790245280
2550 E GUADALUPE RD STE 115
Gilbert, AZ 85234
(602) 933-4395
✔ PECOS2.1 mi
Chia Hsiang Tung, MD
Pediatric Medicine
NPI 1932555828
2550 E GUADALUPE RD STE 115
Gilbert, AZ 85234
(480) 632-1544
✔ PECOS2.1 mi
Erik Ellsworth, MD
Cardiac Surgery
NPI 1306826896
1501 N GILBERT RD STE 203
Gilbert, AZ 85234
(602) 933-3366
✔ PECOS✔ Accepts Medicare4.1 mi
Tessa Meyer, FNP
Nurse Practitioner
NPI 1073051983
BANNER MD ANDERSON CANCER CENTER 2946 E. BANNER GATEWAY DRIVE
Gilbert, AZ 85234
(480) 256-6444
✔ PECOS4.5 mi
See all 1,411 clinicians

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 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.

Is Phoenix Children's Medical Group enrolled in Medicare?

Yes. Phoenix Children's Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Children's Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,411 clinicians in 60 Medicare specialties reassign their Medicare billing to Phoenix Children's Medical Group. 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. The largest specialties are Pediatric Medicine (302), Nurse Practitioner (248) and Hospitalist (84). Of these, 6 practice at this address and 63 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 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.