NPIMap

Organization Active NPI

Peds Center of Round Rock PA

  • Pediatrics Physician
  • Elgin, TX
National Provider Identifier
1033767975
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDS CENTER OF ROUND ROCK PA
Practice address
218 W US Highway 290
Elgin, TX 78621-3265
Phone
(512) 281-1900
Fax
(512) 285-4100
NPI assigned
Sep 3, 2019
Last updated
Sep 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Vivekanand Dasari, MD
Title
Owner
Phone
(512) 733-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

218 W US Highway 290
Elgin, TX 78621-3265

Mailing address

7700 Cat Hollow Dr Ste 104
Round Rock, TX 78681-5797
Phone (512) 733-5437

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Center of Round Rock8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

218 Highway 290 W
Elgin, TX 78621
Phone (512) 281-1900

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1033767975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR STE 104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815797",
            "telephone_number": "512-733-5437",
            "fax_number": "512-244-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W US HIGHWAY 290",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786213265",
            "telephone_number": "512-281-1900",
            "fax_number": "512-285-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDS CENTER OF ROUND ROCK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "VIVEKANAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-733-5437",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.