SPECIALTY PEDIATRIC SOLUTIONS
NPI 1508561325
Pediatrics - Pediatric Cardiology in Peoria, AZ

Active since April 03, 2023
8765 W KELTON LN STE C102, PEORIA, AZ 85382(480) 812-5040 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2023, Apr 4, 2023 (2 updates tracked since 2023).

About Specialty Pediatric Solutions NPPES

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

SPECIALTY PEDIATRIC SOLUTIONS (NPI 1508561325) is a healthcare organization registered as a pediatric cardiology in Peoria, Arizona and active in the NPI registry since April 2023. The organization lists Pankaj Jain, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1508561325
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NameSPECIALTY PEDIATRICS MEDICAL GROUP PLLC
Location Address8765 W KELTON LN STE C102Peoria, AZ 85382-5012
Mailing Address8765 W Kelton Ln, Bldg C1, Ste-102Peoria, AZ 85382-5012 · (480) 812-5040 · Fax (520) 552-6487
Organization SubpartNo
Authorized OfficialPankaj JainPresident/ceo · (480) 812-5040
Enumeration DateApril 3, 2023
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1508561325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
8765 W KELTON LN STE C102, Peoria, AZ 85382

Other Names 1

Doing Business AsSpecialty Pediatric Solutions

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Specialty Pediatric Solutions is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Specialty Pediatric Solutions, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cardiovascular Disease (Cardiology)
NPI 1174941108
1400 S DOBSON RD
Mesa, AZ 85202
(480) 412-5437
✔ PECOS27 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 Specialty Pediatrics Medical Group PLLC's NPI number?

The NPI number for Specialty Pediatrics Medical Group PLLC is 1508561325. It was assigned to this organization in the NPPES registry on April 3, 2023. The provider is doing business as Specialty Pediatric Solutions.

Where is Specialty Pediatrics Medical Group PLLC located?

Specialty Pediatrics Medical Group PLLC is located at 8765 W Kelton Ln Ste C102, Peoria, AZ 85382. The listed phone number is (480) 812-5040.

What is Specialty Pediatrics Medical Group PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Specialty Pediatrics Medical Group PLLC enrolled in Medicare?

Yes. Specialty Pediatrics Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Pediatrics Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Specialty Pediatrics Medical Group PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Specialty Pediatrics Medical Group PLLC was last updated on August 16, 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.