PHOENIX PEDIATRICS LTD
NPI 1871788513
Pediatrics in Phoenix, AZ

Active since September 06, 2007
4434 N 12TH ST, PHOENIX, AZ 85014(602) 242-5121 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jan 27, 2022 (2 updates tracked since 2022).

About Phoenix Pediatrics Ltd NPPES

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

PHOENIX PEDIATRICS LTD (NPI 1871788513) is a healthcare organization registered as a pediatrics in Phoenix, Arizona and active in the NPI registry since September 2007. The organization maintains a secondary practice location in Phoenix and lists Nancie Odonnell, Billing And Coding Coordiator, as its authorized official.

NPPES Registry Identity

NPI1871788513
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePHOENIX PEDIATRICS LTD
Location Address4434 N 12TH STPhoenix, AZ 85014-4507
Mailing Address4434 N 12th StPhoenix, AZ 85014-4507 · (602) 242-5121 · Fax (602) 242-6945
Organization SubpartNo
Authorized OfficialNancie OdonnellBilling And Coding Coordiator · (602) 242-5121
Enumeration DateSeptember 6, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2020
✔ NPI 1871788513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4434 N 12TH ST, Phoenix, AZ 85014

Secondary Practice Location 1

Location 14735 E Union Hills DrPhoenix, AZ 85050-3362 · Phone (602) 242-5121

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Phoenix Pediatrics Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Phoenix Pediatrics Ltd, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Pediatric Medicine
NPI 1053491316
4434 N 12TH STREET
Phoenix, AZ 85014
(602) 242-5121
✔ PECOSSame address
Pediatric Medicine
NPI 1508957101
4434 N 12TH ST
Phoenix, AZ 85014
(602) 242-5121
✔ PECOSSame address
Pediatric Medicine
NPI 1396780755
4434 N 12TH ST
Phoenix, AZ 85014
(602) 242-5121
✔ PECOSSame address
Pediatric Medicine
NPI 1407947047
6702 N 19TH AVE
Phoenix, AZ 85015
(602) 242-5121
✔ PECOS3.5 mi
Pediatric Medicine
NPI 1194816702
4735 E UNION HILLS DR
Phoenix, AZ 85050
(602) 971-5121
✔ PECOS11 mi
Pediatric Medicine
NPI 1568550085
10595 E RAINTREE DR
Scottsdale, AZ 85255
(480) 788-9401
✔ PECOS14 mi
Pediatric Medicine
NPI 1639599400
4201 SAINT ANTOINE ST # 9C
Detroit, MI 48201
(734) 395-6301
✔ PECOS1,688 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 Phoenix Pediatrics Ltd's NPI number?

The NPI number for Phoenix Pediatrics Ltd is 1871788513. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Phoenix Pediatrics Ltd located?

Phoenix Pediatrics Ltd is located at 4434 N 12th St, Phoenix, AZ 85014. The listed phone number is (602) 242-5121.

What is Phoenix Pediatrics Ltd's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Phoenix Pediatrics Ltd enrolled in Medicare?

Yes. Phoenix Pediatrics Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Pediatrics Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Phoenix Pediatrics 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. Of these, 3 practice at this address and 4 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 Pediatrics Ltd was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.