Individual provider Active NPI

Coleen K Marias, MD

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1215917638
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
28266 Issued in AZ
Practice address
8901 E Raintree Dr Ste 150
Scottsdale, AZ 85260-7110
Phone
(480) 733-7600
Fax
(602) 805-2816
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28266 AZ Primary

Addresses

Primary practice location

8901 E Raintree Dr Ste 150
Scottsdale, AZ 85260-7110

Mailing address

8901 E Raintree Dr Ste 150
Scottsdale, AZ 85260-7110
Phone (480) 733-7600

Other identifiers 1

IdentifierTypeStateIssuer
503864MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000958 AZ Practitioner - Pediatric Medicine 4385604974 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28266AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Childrens Banner Health Clinic LLC CurrentSince Aug 4, 2025 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Aug 4, 2025 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Childrens Banner Health Clinic LLC Current Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Emergency Room Associates Limited Past Accepting new patients
Banner -- University Medical Center Tucson Campus LLC Past Accepting new patients

Locations

1450 S Dobson Rd
Ste B220
Mesa, AZ 85202
Phone (480) 827-5044

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

8901 E Raintree Dr
Ste 150
Scottsdale, AZ 85260
Phone (480) 733-7600

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1215917638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 E RAINTREE DR STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607110",
            "telephone_number": "480-733-7600",
            "fax_number": "602-805-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 E RAINTREE DR STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607110",
            "telephone_number": "480-733-7600",
            "fax_number": "602-805-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIAS",
        "first_name": "COLEEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "28266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "503864",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.