MD PEDIATRIC ASSOCIATES
NPI 1013922731
Pediatrics in Coppell, TX
NPI Status: Active since July 30, 2006
Contact Information
760 N DENTON TAP RD
SUITE 130
COPPELL, TX
ZIP 75019
Phone: (972) 420-1475
Fax: (214) 222-2435
- Organization
- Pediatrics
- CLIA Number: 45D1060047
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-28-2026
About MD PEDIATRIC ASSOCIATES
This page provides the complete NPI Profile along with additional information for Md Pediatric Associates, a pediatrician established in Coppell, Texas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1013922731 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Md Pediatric Associates. The authorized official of this NPI record is Dr. Mark W Holt M.d. (President)
- NPI
- 1013922731
- Provider Legal Name
- MD PEDIATRIC ASSOCIATES, P.A.
- Other Organization Name
- MD PEDIATRIC ASSOCIATES
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 760 N DENTON TAP RD SUITE 130 COPPELL, TX 75019
- Location Phone
- (972) 420-1475
- Location Fax
- (214) 222-2435
- Mailing Address
- PO BOX 2429 COPPELL, TX 75019
- Mailing Phone
- (972) 420-1475
- Mailing Fax
- (214) 222-2435
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-30-2006
- Last Update Date
- 02-17-2012
- Code Navigator
A pediatrician like Md Pediatric Associates is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ========= | OTHER (01) | TX | TAX ID# |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1060047
- Facility Type
- Physician Office
- Certificate Effective Date
- March 01, 2024
- Certificate Expiration Date
- February 28, 2026
- Laboratory Director
- RALPH J. FITZGERALD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Md Pediatric Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 9 | 2 | 2 | 7 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 18 | 2 | 4 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 1 + 8 + 2 + 4 + 7 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1013922731 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1265433650 | DR. DARLETTA JOAN KINCAID M.D. Individual | Pediatrics | 760 N DENTON TAP RD SUITE 130 COPPELL, TX 75019 (972) 420-1475 |
| 1346241528 | DR. MARK WALKER HOLT M.D. Individual | Pediatrics | 760 N DENTON TAP RD SUITE 130 COPPELL, TX 75019 (972) 420-1475 |
| 1720080138 | MRS. KIM RENAE MOWERY RN, MS, CPNP Individual | Nurse Practitioner (Pediatrics) | 760 N DENTON TAP RD SUITE 130 COPPELL, TX 75019 (972) 420-1475 |
| 1114929510 | MRS. BELINE MARIE BOYLE RN, MS, CPNP Individual | Nurse Practitioner (Pediatrics) | 760 N DENTON TAP RD SUITE 130 COPPELL, TX 75019 (972) 420-1475 |
| 1730469354 | PRACHI DEORE P.A. Organization | Dentist (General Practice) | 760 N DENTON TAP RD #190 COPPELL, TX 75019 (972) 315-2200 |
| 1699367193 | MRS. NISHA S PATEL RDH Individual | Dental Hygienist | 760 N DENTON TAP RD #190 COPPELL, TX 75019 (972) 315-2200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013922731, enumerated in the NPI registry as an "organization" on July 30, 2006
The provider is located at 760 N Denton Tap Rd Suite 130 Coppell, Tx 75019 and the phone number is (972) 420-1475
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D1060047 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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