Pediatric Care Center P C

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

PEDIATRIC CARE CENTER P C

Practice address

1265 Wayne Ave Ste 309
Indiana, PA 15701-3501

Phone

(724) 349-1310

Fax

(724) 397-2420

NPI assigned

Sep 25, 2025

Organization subpart

No

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

Authorized official

Name

Rizwan Jabir, MDNPI 1598798225

Title

Owner

Phone

(724) 388-3127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Rural health clinic certification: CCN 393932

Legal name

PEDIATRIC CARE CENTER P C

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

May 20, 2026

Last certification

May 20, 2026

Ownership / control type

1B

Organization structure

CorporationProprietary

Enrollment address

1265 Wayne Ave
Ste 309
Indiana, PA 15701-3501

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pediatric Care Center P C

  • Rural Health Clinic/Center
  • Marion Center, PA
  • NPI 1912872136

  8921270802

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Pediatric Care Center P C3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Care Center P C

  • Rural Health Clinic/Center
  • Marion Center, PA
  • NPI 1912872136
  NPD tax ID
• Pediatric Care Center PC

  • Pediatric Adolescent Medicine Physician
  • Marion Center, PA
  • NPI 1972691103
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

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

• Rizwan Jabir, M.D.

  • Pediatric Adolescent Medicine Physician
  • Marion Center, PA
  • NPI 1598798225
  NPD (past) Authorized official
• Ameena R Jabir, M.D.

  • Pediatric Adolescent Medicine Physician
  • Marion Center, PA
  • NPI 1639102379
  NPD (past)
• Nicole Rae Orr, PA-C

  • Physician Assistant
  • Punxsutawney, PA
  • NPI 1134688500
  NPD (past)

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1083587018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "MARION CENTER",
            "state": "PA",
            "postal_code": "157590268",
            "telephone_number": "724-397-2326",
            "fax_number": "724-397-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 309",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-349-1310",
            "fax_number": "724-397-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "JABIR",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-388-3127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shannon M Pearce, FNP
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• Jordan Leah Penrose
• Patricia Carol Peoples, CRNP

• Rural Health Clinic/Center in Indiana, PA
• Providers in Indiana, PA by specialty
• Rural Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.