PUEBLO FAMILY PHYSICIANS LTD
NPI 1790798072
Family Medicine in Phoenix, AZ
About Pueblo Family Physicians Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUEBLO FAMILY PHYSICIANS LTD (NPI 1790798072) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Scottsdale, and lists Rick Johns, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pueblo Family Physicians Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Pueblo Family Physicians Ltd, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Scottsdale, AZ 85260
Scottsdale, AZ 85260
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D0699858
Pueblo Family Physicians · Phoenix, AZCertificate of Waiver 03D2324757
Pueblo Family Physicians Ltd · Phoenix, AZFrequently 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 Pueblo Family Physicians Ltd's NPI number?
The NPI number for Pueblo Family Physicians Ltd is 1790798072. It was assigned to this organization in the NPPES registry on August 15, 2006.
Where is Pueblo Family Physicians Ltd located?
Pueblo Family Physicians Ltd is located at 4350 N 19th Ave Suite 6, Phoenix, AZ 85015. The listed phone number is (602) 264-9191.
What is Pueblo Family Physicians Ltd's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pueblo Family Physicians Ltd enrolled in Medicare?
Yes. Pueblo Family Physicians Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pueblo Family Physicians Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Pueblo Family Physicians Ltd. 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 Nurse Practitioner (5), Family Practice (1) and General Practice (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pueblo Family Physicians Ltd hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Pueblo Family Physicians Ltd accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Pueblo Family Physicians Ltd 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 Pueblo Family Physicians Ltd was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pueblo Family Physicians Ltd · NPI 1790798072
Family Medicine organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since August 15, 2006.
## Identity
- **NPI:** 1790798072 (Entity type: Organization)
- **Enumerated:** August 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Pueblo Family Physicians Ltd)
- **Authorized official:** Rick Johns, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 4350 N 19TH AVE, SUITE 6, Phoenix, AZ 85015-4602
- **Phone:** (602) 264-9191 · **Fax:** (602) 532-2973
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (1), General Practice (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2024
- **Other identifiers:** Medicaid 423779 (AZ)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790798072) · Data from the CMS NPPES public registry.