OrganizationActive
Bethesda Pediatrics of Queen Creek
NPI 1073102976 · Pediatrics Physician · Mesa, AZ
Bethesda Pediatrics of Queen Creek is a Pediatrics Physician organization in Mesa, AZ (NPI 1073102976).
Provider details
- NPI number
- 1073102976
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacie Self, Billing(480) 792-9200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
130 S 63rd St
Mesa, AZ 85206-1620
Phone: (480) 792-9200
Street-level locationGet directions
Mailing address
22707 S Ellsworth Rd Ste H101
Queen Creek, AZ 85142-7568
Other names (DBA / former)
- Doing business as
- Main Street Pediatrics
- Doing business as
- Pediatrics of Queen Creek
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Frequently asked questions
- What is Bethesda Pediatrics of Queen Creek's NPI number?
- Bethesda Pediatrics of Queen Creek's National Provider Identifier (NPI) is 1073102976, 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 130 S 63rd St, Mesa, AZ 85206-1620.
- 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 Stacie Self, Billing. 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 (1073102976) is active in the NPPES registry as of the last update on 2021-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.