NPIMap

Organization Active NPI

Pimri, LLC

Doing business as Pimri Pediatrics

  • Pediatrics Physician
  • Mesa, AZ
National Provider Identifier
1225660467
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PIMRI, LLC
Doing business as
Pimri Pediatrics
Practice address
2204 S Dobson Rd Ste 102
Mesa, AZ 85202-6457
Phone
(480) 485-5166
Fax
(877) 991-6652
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Authorized official

Name
Dr. Nicolas Peters, MDNPI 1487844791
Title
Manager/Owner
Phone
(480) 485-5166

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X
Medical TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246QM0706X
Infusion Therapy Clinic/Center 261QI0500X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

2204 S Dobson Rd Ste 102
Mesa, AZ 85202-6457

Mailing address

70 S Val Vista Dr Ste A3-618
Gilbert, AZ 85296-0942
Phone (480) 485-5166

Other identifiers 1

IdentifierTypeStateIssuer
104031MedicaidAZ

Other names 1

  • Pimri Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

455 N Mesa Dr
Ste 8E
Mesa, AZ 85201
Phone (937) 768-2544

Practitioners & affiliated clinicians

Practitioners 4

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": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1225660467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-618",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960942",
            "telephone_number": "480-485-5166",
            "fax_number": "877-991-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026457",
            "telephone_number": "480-485-5166",
            "fax_number": "877-991-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "480-485-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104031",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pimri Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.