Pioneer Pediatrics Wellness Center
NPI 1124910179 · Pediatrics Physician · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pioneer Pediatrics Wellness Center is a Pediatrics Physician organization in Las Vegas, NV (NPI 1124910179).
Provider details
- NPI number
- 1124910179
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Priscilla Otoo-Adjorlolo, Director(702) 370-7842
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Additional practice locations (1)
- 4840 E Bonanza Rd Ste 5Las Vegas, NV 89110-3453Phone: (702) 370-7842
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-11-30
- Certified
- 2025-11-30
Frequently asked questions
- What is Pioneer Pediatrics Wellness Center's NPI number?
- Pioneer Pediatrics Wellness Center's National Provider Identifier (NPI) is 1124910179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pioneer Pediatrics Wellness Center?
- Pioneer Pediatrics Wellness Center is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Pioneer Pediatrics Wellness Center located?
- Pioneer Pediatrics Wellness Center's practice location on file with NPPES is 3210 W Charleston Blvd Ste 2, Las Vegas, NV 89102-0080.
- What is Pioneer Pediatrics Wellness Center's phone number?
- The practice phone number listed in the NPPES registry for Pioneer Pediatrics Wellness Center is (702) 370-7842.
- Does Pioneer Pediatrics Wellness Center accept Medicare?
- Pioneer Pediatrics Wellness Center 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 Pioneer Pediatrics Wellness Center?
- The authorized official listed on Pioneer Pediatrics Wellness Center's NPPES record is Priscilla Otoo-Adjorlolo, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pioneer Pediatrics Wellness Center's NPI active?
- Yes — Pioneer Pediatrics Wellness Center's NPI (1124910179) is active in the NPPES registry as of the last update on 2025-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.