Bethesda Pediatrics of Queen Creek
NPI 1063727766 · Pediatrics Physician · Queen Creek, AZ
Bethesda Pediatrics of Queen Creek is a Pediatrics Physician organization in Queen Creek, AZ (NPI 1063727766).
Provider details
- NPI number
- 1063727766
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elmer Portillo, Cfo(602) 531-0302
- License
- 43623 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pediatrics of Queen Creek
- Doing business as
- Pediatrics of Queen Creek
Additional practice locations (2)
- 299 W Central AveCoolidge, AZ 85128-4724Phone: (520) 723-1939
- 130 S 63rd StMesa, AZ 85206-1620Phone: (480) 792-9200
Registry dates
- Enumerated
- 2010-08-18
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Frequently asked questions
- What is Bethesda Pediatrics of Queen Creek's NPI number?
- Bethesda Pediatrics of Queen Creek's National Provider Identifier (NPI) is 1063727766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bethesda Pediatrics of Queen Creek?
- Bethesda Pediatrics of Queen Creek is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Bethesda Pediatrics of Queen Creek located?
- Bethesda Pediatrics of Queen Creek's practice location on file with NPPES is 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142-7568.
- What is Bethesda Pediatrics of Queen Creek's phone number?
- The practice phone number listed in the NPPES registry for Bethesda Pediatrics of Queen Creek is (480) 792-9200.
- Who is the authorized official for Bethesda Pediatrics of Queen Creek?
- The authorized official listed on Bethesda Pediatrics of Queen Creek's NPPES record is Elmer Portillo, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bethesda Pediatrics of Queen Creek's NPI active?
- Yes — Bethesda Pediatrics of Queen Creek's NPI (1063727766) is active in the NPPES registry as of the last update on 2024-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.