Phoenix Children's Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

SH3107 Issued in AZ

Legal business name

PHOENIX CHILDREN'S MEDICAL GROUP

Practice address

5131 E Southern Ave
Mesa, AZ 85206-2799

Phone

(602) 933-0002

Fax

(602) 933-6216

NPI assigned

Jun 13, 2008

Last updated

May 22, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

PHOENIX CHILDREN'S HOSPITAL, INC.As reported in NPPES

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

Authorized official

Name

Raheel Farough

Title

SVP, Managed Care & Payer Strategy

Phone

(602) 933-3548

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Phoenix Children's Hospital

  dba Phoenix Children's Medical Group

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044

  O20051107000704

  Same enrollment
• Phoenix Children's Medical Group

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
  • NPI 1679703441

  O20051107000704

  Same enrollment

Part of

Phoenix Children's Hospital Inc

Locations (25 of 26)

Practitioners 1,508

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asmaa Aamir, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1912163791
  NPD
• Madeline Aaron, APRN-RNP

  • Pediatric Nurse Practitioner
  • Phoenix, AZ
  • NPI 1851134837
  NPD
• Brandon Harold Abbott, D.O., M.P.H.

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1528350139
  NPD
• Monica Abd El Nour, MD

  • Pediatric Infectious Diseases Physician
  • Phoenix, AZ
  • NPI 1760044101
  NPD
• Benjamin Nathan Abelson, M.D.

  • Pediatric Urology Physician
  • Phoenix, AZ
  • NPI 1417369828
  NPD
• Todd A Abruzzo, MD

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1407848377
  NPD
• Juan M. Acosta, MD

  • Pediatric Surgery Physician
  • Phoenix, AZ
  • NPI 1467423772
  NPD
• David Frederick Adams, MD

  • Pediatric Critical Care Medicine Physician
  • Phoenix, AZ
  • NPI 1023100930
  NPD
• Roberta H Adams, M.D.

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1932182771
  NPD
• Jill Adamski, MD, PHD

  • Clinical Pathology/Laboratory Medicine Physician
  • Scottsdale, AZ
  • NPI 1871658013
  NPD
• Philip David Adelson, MD

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1942271317
  NPD
• Smita Nicole Aguirre, RD

  • Registered Dietitian
  • Phoenix, AZ
  • NPI 1144644733
  NPD

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1487814240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E THOMAS RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062799",
            "telephone_number": "602-933-0002",
            "fax_number": "602-933-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CHILDREN'S MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX CHILDREN'S HOSPITAL, INC.",
        "enumeration_date": "2008-06-13",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "FAROUGH",
        "authorized_official_first_name": "RAHEEL",
        "authorized_official_title_or_position": "SVP, MANAGED CARE & PAYER STRATEGY",
        "authorized_official_telephone_number": "602-933-3548"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AZ",
            "license": "SH3107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876253",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix Anesthesia Associates PLLC
• Phoenix Anesthesia Consultants, P.C.
• Phoenix Bariatric LLC
• Phoenix Children's Hospital, Inc.
• Phoenix Children's Hospital, Inc. (Phoenix Children's Surgery Center - East Valley)
• Phoenix Diagnostic Imaging Inc
• Phoenix Hospice & Palliative Care, LLC (Endeavor Hospice)
• Phoenix Neurological Institute Inc (Phoenician Behavioral Health)
• Phoenix Perfusion Services
• Phoenix Physician Group, PLLC

• Multi-Specialty Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.