NPIMap

Organization Active NPI

Pediatric Group Specialists, LTD.

Doing business as Pediatrix

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1639164833
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC GROUP SPECIALISTS, LTD.
Doing business as
Pediatrix
Practice address
15650 N Black Canyon Hwy
Suite 100
Phoenix, AZ 85053-4064
Phone
(602) 866-0550
Fax
(602) 993-5788
NPI assigned
Sep 13, 2005
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Dr. David A. Kleiner, MDNPI 1477545853
Title
Ceo
Phone
(602) 866-0550

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

15650 N Black Canyon Hwy
Suite 100
Phoenix, AZ 85053-4064

Mailing address

15650 N Black Canyon Hwy
Suite 100
Phoenix, AZ 85053-4064
Phone (602) 866-0550

Other names 1

  • Pediatrix Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0527847Pediatrix15650 N Black Canyon Rd Ste a 100, Phoenix, AZ 85053Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory

Locations

23425 N 39th Dr
Ste 112
Glendale, AZ 85310

15650 N Black Canyon Hwy
Ste 100
Phoenix, AZ 85053
Phone (602) 866-0550

2030 W Whispering Wind Dr
Phoenix, AZ 85085
Phone (602) 866-0550

2316 W Bethany Home Rd
Ste 109
Phoenix, AZ 85015
Phone (602) 866-0550

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1639164833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15650 N BLACK CANYON HWY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534064",
            "telephone_number": "602-866-0550",
            "fax_number": "602-564-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 N BLACK CANYON HWY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534064",
            "telephone_number": "602-866-0550",
            "fax_number": "602-993-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GROUP SPECIALISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "KLEINER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-866-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrix",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatrix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.