Organization Active NPI

Roadrunner Pediatrics

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1083447692
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROADRUNNER PEDIATRICS
Practice address
105 S Houghton Rd Ste 101
Tucson, AZ 85748-6732
Phone
(520) 979-0550
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra Herron, MDNPI 1144295890
Title
Owner/MD
Phone
(520) 979-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

105 S Houghton Rd Ste 101
Tucson, AZ 85748-6732

Mailing address

105 S Houghton Rd Ste 101
Tucson, AZ 85748-6732
Phone (520) 438-5449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429003618 AZ Part B Supplier - Clinic/Group Practice 4082130364 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2312599Roadrunner Pediatrics105 S Houghton Rd Ste 101, Tucson, AZ 85748Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory

Locations

105 S Houghton Rd
Ste 107
Tucson, AZ 85748

105 S Houghton Rd
Tucson, AZ 85748

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1083447692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S HOUGHTON RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486732",
            "telephone_number": "520-438-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S HOUGHTON RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486732",
            "telephone_number": "520-979-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "520-979-0550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.