AZ NICU GROUP PLLC – NPI #1063127769
Pediatrics

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Health Care Provider Taxonomy Code for Pediatrics

AZ NICU GROUP PLLC is a provider located in MESA, AZ. NPPES has assigned the NPI number 1063127769 to AZ NICU GROUP PLLC on January 17, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080N0001X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neonatal-Perinatal Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AZ NICU GROUP PLLC below.

NPI Profile for
AZ NICU GROUP PLLC

NPI Number
1063127769
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AZ NICU GROUP PLLC
Primary location
1301 S CRISMON RD
MESA, AZ 85209-3767
Phone: (480) 906-7449 Fax:
Mailing address
862 E NARANJA DR
ORO VALLEY, AZ 85737-8642
Phone: Fax:
Organization Subpart
No
Authorized Official
LATHA KUMARASWAMY
CEO
Phone: (520) 604-3148
Updated
Certification Date
Jan 17, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080N0001X
- Pediatrics / Neonatal-Perinatal Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.