Organization Active NPI

Dell Children's Medical Group

Doing business as Dell Children's Medical Group Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
National Provider Identifier
1124748249
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
DELL CHILDREN'S MEDICAL GROUP
Doing business as
Dell Children's Medical Group Sleep Center
Practice address
9010 N Lake Creek Pkwy
BLDG 2 Suite 101
Austin, TX 78717
Phone
(512) 628-1800
NPI assigned
Aug 30, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Clayton Carsner
Title
VP / Coo
Phone
(512) 324-5846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

9010 N Lake Creek Pkwy
BLDG 2 Suite 101
Austin, TX 78717

Mailing address

1345 Philomena St
Suite 410.3
Austin, TX 78723
Phone (512) 324-5938

Other names 1

  • Dell Children's Medical Group Sleep Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230303002437 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8224092978 Practice locations: Austin, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2123850Dell Children's Medical Group Cedar Park Urology9010 North Lake Creek Pkwy Building 2, Suite 302, Austin, TX 78717Certificate of waiverJan 3, 2027
45D2273370Dell Children's Medical Center North-Poct and RT9010 North Lake Creek Parkway - 1St, 2ND and 3Rd, Austin, TX 78717AccreditationDec 5, 2026
45D2273379Dell Children's Medical Center North - Laboratory9010 North Lake Creek Parkway (1St Floor - Room 12, Austin, TX 78717AccreditationMar 6, 2028
45D2287082Dell Children's Medical Group DCN Mob9010 N Lake Creek Parkway BLDG 2 1St, 2ND & 3Rd, Austin, TX 78717Provider-performed microscopyAug 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dell Childrens Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1301 Barbara Jordan Blvd
Ste 303
Austin, TX 78723
Phone (512) 324-0970

1301 Barbara Jordan Blvd
Ste 304
Austin, TX 78723
Phone (512) 324-0975

6811 Austin Center Blvd
Ste 410
Austin, TX 78731
Phone (512) 324-2705

6811 Austin Center Blvd
Ste 420
Austin, TX 78731
Phone (512) 324-2710

8509 FM 969 Rd
Bldg 2
Austin, TX 78724
Phone (512) 324-0095

9010 N Lake Creek Pkwy
#2
Austin, TX 78717
Phone (512) 324-7378

9010 N Lake Creek Pkwy
Ste 300
Austin, TX 78717

1301 Medical Pkwy
Ste 130
Cedar Park, TX 78613
Phone (512) 248-2422

135 Bunton Creek Rd
Kyle, TX 78640
Phone (512) 268-2068

16010 Park Valley Dr
Ste 227
Round Rock, TX 78681
Phone (512) 255-7337

201 University Oaks Blvd
Ste 1260
Round Rock, TX 78665
Phone (512) 324-4780

601B Leah Ave
San Marcos, TX 78666
Phone (512) 392-1700

Practitioners & affiliated clinicians

Practitioners 595

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 595

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1124748249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PHILOMENA ST",
            "address_2": "SUITE 410.3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-324-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 N LAKE CREEK PKWY",
            "address_2": "BLDG 2 SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78717",
            "telephone_number": "512-628-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELL CHILDREN'S MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "CARSNER",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "VP / COO",
        "authorized_official_telephone_number": "512-324-5846"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dell Children's Medical Group Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.