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Bethesda Pediatrics of Queen Creek

Pediatrics Physician in Queen Creek, AZ · enumerated 2010 · authorized official Elmer Portillo, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063727766

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Registry record

Entity type Organization (Type 2)
Legal business name Bethesda Pediatrics of Queen Creek
Other name <Unavail>
Practice address 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ, 85142
Phone (480) 792-9200
Fax (480) 792-9206
Enumeration date Aug 18, 2010
Last updated in NPPES Jul 24, 2024

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 43623 (AZ) Primary

Authorized official

Name Elmer Portillo
Title Cfo
Phone (602) 531-0302

Other identifiers

Identifier Type State Issuer
935531 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Bethesda Pediatrics of Queen Creek?
Bethesda Pediatrics of Queen Creek is registered in NPPES as a Pediatrics Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-24.