CAPITAL REGION PHYSICIANS - PEDIATRIC ASSOCIATES
NPI 1629031018
Clinic/Center - Multi-Specialty in Jefferson City, MO

Active since April 08, 2006
1014 MADISON ST, JEFFERSON CITY, MO 65102(573) 632-5525(573) 632-5811 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Capital Region Physicians - Pediatric Associates NPPES

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

CAPITAL REGION PHYSICIANS - PEDIATRIC ASSOCIATES (NPI 1629031018) is a healthcare organization registered as a multi-specialty in Jefferson City, Missouri and active in the NPI registry since April 2006. The organization lists Tom Luebbering, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1629031018
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCAPITAL REGION MEDICAL CENTER
Location Address1014 MADISON STJefferson City, MO 65102-3458
Mailing AddressPo Box 1107Jefferson City, MO 65102-1107 · (573) 632-5525 · Fax (573) 632-5811
Fax(573) 632-5811
Organization SubpartNo
Authorized OfficialTom LuebberingVp Of Finance · (573) 632-5100
Enumeration DateApril 8, 2006
Last NPPES UpdateAugust 23, 2013
NPI 1629031018 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 MO · 41910
1014 MADISON ST, Jefferson City, MO 65102

Other Names 1

Doing Business AsCapital Region Physicians - Pediatric Associates

Other Identifiers 1

Medicaid507515500MO

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 Capital Region Medical Center's NPI number?

The NPI number for Capital Region Medical Center is 1629031018. It was assigned to this organization in the NPPES registry on April 8, 2006. The provider is doing business as Capital Region Physicians - Pediatric Associates.

Where is Capital Region Medical Center located?

Capital Region Medical Center is located at 1014 Madison St, Jefferson City, MO 65102. The listed phone number is (573) 632-5525.

What is Capital Region Medical Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Capital Region Medical Center was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.