Organization Active NPI

Peapod Pediatrics PLLC

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1700792900
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEAPOD PEDIATRICS PLLC
Practice address
5010 E Shea Blvd Ste 148
Scottsdale, AZ 85254-4751
Phone
(480) 568-2041
Fax
(480) 761-3147
NPI assigned
Aug 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Sarah Elisabeth Wiersma, MDNPI 1194163667
Title
Owner
Phone
(480) 568-2041

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5010 E Shea Blvd Ste 148
Scottsdale, AZ 85254-4751

Mailing address

5010 E Shea Blvd Ste 148
Scottsdale, AZ 85254-4751
Phone (480) 568-2041

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
03D2330598Peapod Pediatrics PLLC5010 E Shea Blvd Ste 148, Scottsdale, AZ 85254Certificate of waiverSep 17, 2027

National Provider Directory

National Provider Directory

Locations

5010 E Shea Blvd
Ste 148
Scottsdale, AZ 85254
Phone (480) 568-2041

Practitioners & affiliated clinicians

Practitioners 1

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": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1700792900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 E SHEA BLVD STE 148",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544751",
            "telephone_number": "480-568-2041",
            "fax_number": "480-761-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E SHEA BLVD STE 148",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544751",
            "telephone_number": "480-568-2041",
            "fax_number": "480-761-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAPOD PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "WIERSMA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-568-2041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.