Individual provider Active NPI

Christopher S Cwik, MD

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1467432815
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
37360 Issued in AZ
Practice address
9305 W Thomas Rd
Ste 125
Phoenix, AZ 85037-3328
Phone
(623) 388-3216
Fax
(623) 388-4902
NPI assigned
Jan 20, 2006
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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 37360 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd
Ste 125
Phoenix, AZ 85037-3328

Mailing address

9059 W. Lake Pleasant Pkwy
Ste E-540
Peorla, AZ 85382
Phone (623) 322-3380

Other identifiers 2

IdentifierTypeStateIssuer
258231MedicaidAZ
4434626MedicaidMI

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
I20250520003804 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1153336714

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Estrella Medical Center Past Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
Maryvale Pediatric Clinic Pediatrics Past Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drcwik@mvpkidscare.opdirect.net

Organizations & group practices 5

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

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": "1620604800000",
    "number": "1467432815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9059 W. LAKE PLEASANT PKWY",
            "address_2": "STE E-540",
            "city": "PEORLA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-322-3380",
            "fax_number": "623-322-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD",
            "address_2": "STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373328",
            "telephone_number": "623-388-3216",
            "fax_number": "623-388-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CWIK",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "37360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258231",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4434626",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.