Springfield Medical LLC
NPI 1093019150 · Pediatrics Physician · San Tan Valley, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Springfield Medical LLC is a Pediatrics Physician organization in San Tan Valley, AZ (NPI 1093019150).
Provider details
- NPI number
- 1093019150
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oladiji Vaughan, Owner(602) 734-5509
- License
- 40162 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Springfield Pediatrics
- Doing business as
- Springfield Pediatrics
Registry dates
- Enumerated
- 2011-01-04
- Last updated
- 2023-07-25
- Certified
- 2023-07-25
Frequently asked questions
- What is Springfield Medical LLC's NPI number?
- Springfield Medical LLC's National Provider Identifier (NPI) is 1093019150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Springfield Medical LLC?
- Springfield Medical LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Springfield Medical LLC located?
- Springfield Medical LLC's practice location on file with NPPES is 36351 N Gantzel Rd Ste 127, San Tan Valley, AZ 85140-7329.
- What is Springfield Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Springfield Medical LLC is (602) 734-5509.
- Does Springfield Medical LLC accept Medicare?
- Springfield Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Springfield Medical LLC?
- The authorized official listed on Springfield Medical LLC's NPPES record is Oladiji Vaughan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Springfield Medical LLC's NPI active?
- Yes — Springfield Medical LLC's NPI (1093019150) is active in the NPPES registry as of the last update on 2023-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.