OrganizationActive
Phoenix Children'S Hospital
NPI 1295028587 · Pediatrics Physician · Phoenix, AZ
Provider details
- NPI number
- 1295028587
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Phoenix Children'S Hospital
- Organization subpart
- Yes
- Authorized official
- Raheel Farough, Svp, Managed Care & Payor Strategy(602) 933-3548
- License
- SH3107 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
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
3333 E Van Buren St
Phoenix, AZ 85008-6812
Phone: (602) 933-0945
Fax: (602) 933-4263
Street-level locationGet directions
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Other names (DBA / former)
- Doing business as
- Phoenix Children'S Hospital Medical Crews Van
- Doing business as
- Phoenix Children'S Hospital Medical Crews Van
Registry dates
- Enumerated
- 2011-05-19
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.