SOUTHWEST PEDIATRIC CARE, LLC
NPI 1881089886
Clinic/Center - Primary Care in Deming, NM
About Southwest Pediatric Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHWEST PEDIATRIC CARE, LLC (NPI 1881089886) is a healthcare organization registered as a primary care in Deming, New Mexico and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Joel Rene Roque, Coo / Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwest Pediatric Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Southwest Pediatric Care, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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
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 32D2110182
Southwest Pediatric Care LLC · Deming, NMFrequently 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 Southwest Pediatric And Family Care, LLC's NPI number?
The NPI number for Southwest Pediatric And Family Care, LLC is 1881089886. It was assigned to this organization in the NPPES registry on April 6, 2015. The provider is doing business as Southwest Pediatric Care, LLC.
Where is Southwest Pediatric And Family Care, LLC located?
Southwest Pediatric And Family Care, LLC is located at 1020 S 8th St Suite A, Deming, NM 88030. The listed phone number is (575) 936-4350.
What is Southwest Pediatric And Family Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Southwest Pediatric And Family Care, LLC enrolled in Medicare?
Yes. Southwest Pediatric And Family Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southwest Pediatric And Family Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Southwest Pediatric And Family Care, LLC. 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 (4) and Mental Health Counselor (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southwest Pediatric And Family Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2110182) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southwest Pediatric And Family Care, LLC was last updated on May 16, 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.
# Southwest Pediatric Care, Llc · NPI 1881089886
Primary Care organization in Deming, New Mexico. Organization record, active in the CMS NPPES registry since April 6, 2015.
## Identity
- **NPI:** 1881089886 (Entity type: Organization)
- **Enumerated:** April 6, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Southwest Pediatric And Family Care, Llc
- **Organization subpart:** No
- **Authorized official:** Joel Roque, COO / CO-OWNER
## Practice location
- **Address:** 1020 S 8TH ST, SUITE A, Deming, NM 88030-4007
- **Phone:** (575) 936-4350 · **Fax:** (575) 936-4351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Mental Health Counselor (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2024
- **Other identifiers:** Medicaid 5558582 (NM); Medicaid 965048 (AZ); Other 1376626564 (AZ); and 1 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1881089886) · Data from the CMS NPPES public registry.