Individual provider Active NPI

Jeremy Roberts Child, M.D.

  • Diagnostic Radiology Physician
  • Mesa, AZ
National Provider Identifier
1669784864
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
52696 Issued in AZ
Practice address
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone
(480) 610-7497
NPI assigned
Jul 6, 2010
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 52696 AZ Primary

Addresses

Primary practice location

1400 S Dobson Rd
Mesa, AZ 85202-4707

Mailing address

7050 Brookhollow West Dr Unit 40666
Houston, TX 77240-0860
Phone (480) 610-7497

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
I20210817001046 AZ Practitioner - Diagnostic Radiology 5496996936 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Valley Radiologists, LTDGroup PAC ID 8325388499, 59 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Suite 106
Goodyear, AZ 85395-2625
Phone (623) 847-2000

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (832) 915-2534

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (832) 915-2534

18275 N 59TH Ave
Suite 168
Glendale, AZ 85308-1254
Phone (623) 847-2000

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (832) 915-2534

5605 W Eugie Ave
Suite 110
Glendale, AZ 85304-1273
Phone (480) 610-7400

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (832) 915-2534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 11, 2021 Accepting new patients
Toca at Banner Health LLC CurrentSince Nov 1, 2021 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Mar 12, 2023 Accepting new patients
Banner Imaging Services LLC CurrentSince Nov 1, 2021 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Toca at Banner Health LLC CurrentSince Nov 1, 2021 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Jan 3, 2024 Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients

Locations (25 of 30)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

9377 E Bell Rd
Ste 231
Scottsdale, AZ 85260
Phone (602) 313-1549

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

10474 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 832-5316

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1669784864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 BROOKHOLLOW WEST DR UNIT 40666",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772400860",
            "telephone_number": "480-610-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-610-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILD",
        "first_name": "JEREMY",
        "middle_name": "ROBERTS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "52696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.