NPIMap

Organization Active NPI

Texas Children's Hospital

Doing business as Texas Children's Hospital North Austin Campus

  • Children's Hospital
  • Austin, TX
National Provider Identifier
1194507947
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
Legal business name
TEXAS CHILDREN'S HOSPITAL
Doing business as
Texas Children's Hospital North Austin Campus
Practice address
9835 N Lake Creek Pkwy
Austin, TX 78717-6210
Phone
(727) 229-3333
NPI assigned
Oct 17, 2023
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Weldon Gage
Title
Cfo
Phone
(832) 828-3660

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X
Ambulatory Surgical Clinic/Center 261QA1903X
Critical Access Hospital Clinic/Center 261QC0050X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Children's Chronic Disease Hospital 281PC2000X
General Acute Care Hospital 282N00000X
Children's Hospital 282NC2000X Primary
Ambulance 341600000X

Addresses

Primary practice location

9835 N Lake Creek Pkwy
Austin, TX 78717-6210

Mailing address

1102 Bates Ave
FC 1440
Houston, TX 77030-2617

Other names 1

  • Texas Children's Hospital North Austin Campus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20240206000125 TX Part A Provider - Hospital 7618873266 Practice locations: Austin, TX
O20240212001133 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 7618873266 Practice locations: Austin, TX
O20260218003099 TX Part B Supplier - Ambulance Service Supplier 7618873266 1 other NPI on this enrollment
Practice locations: Austin, TX; Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194507947. Details of each certification follow.

Hospital certification: CCN 453319

Legal name
TEXAS CHILDRENS HOSPITAL
Doing business as
TEXAS CHILDREN'S HOSPITAL NORTH AUSTIN CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
May 7, 2024
Last certification
May 7, 2024
Beds
65
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 8, 2023 in TX
Enrollment address
9835 N Lake Creek Pkwy
Austin, TX 78717-6210
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Children’s

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Texas Childrens Hospital North Austin CampusCCN 453319 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Texas Children's Hosptial Pharmacy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

9817 N Lake Creek Pkwy
Ste 150
Austin, TX 78717
Phone (737) 289-7100

1020 Holcombe Blvd
Ste 300
Houston, TX 77030

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

11777 FM 1960 Rd W
Ste 200
Houston, TX 77065
Phone (281) 469-4688

1919 S Braeswood Blvd
Fl 2
Houston, TX 77030
Phone (832) 824-2400

6550 Fannin St
Ste 677
Houston, TX 77030
Phone (713) 441-3206

6621 Fannin St
#44294
Houston, TX 77030
Phone (832) 824-2918

6701 Fannin St
#A
Houston, TX 77030

8080 N Stadium Dr
Houston, TX 77054
Phone (832) 822-1900

5514 Atascocita Rd
Ste 190
Humble, TX 77346
Phone (281) 666-5006

19298 W Lake Houston Pkwy
Ste 110
Kingwood, TX 77346
Phone (281) 812-0280

19298 W Lake Houston Pkwy
Ste 220
Kingwood, TX 77346
Phone (281) 540-0476

15400 Southwest Fwy
Ste 310
Sugar Land, TX 77478
Phone (281) 494-7010

16605 Southwest Fwy
Ste 500
Sugar Land, TX 77479
Phone (281) 491-6830

17350 St Lukes Way
Ste 300
The Woodlands, TX 77384
Phone (281) 419-5010

940 Clear Lake City Blvd
Ste 200
Webster, TX 77598
Phone (281) 282-1900

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martha Carnes Individual Corporate DirectorBoard of Director Sep 18, 2025
Asharaf J Virani Individual Corporate DirectorBoard of Director Sep 18, 2025
Suzanne Nimocks Individual Corporate DirectorBoard of Director Sep 18, 2025
Debra Sukin Individual Corporate OfficerAuthorized Officer Oct 4, 2024
Corporate DirectorChairman Board of Directors Oct 4, 2024
Operational/Managerial ControlPresident and Chief Ex Officer Oct 4, 2024
Glen Gonzalez Individual Corporate DirectorBoard of Director Sep 18, 2025
Weldon W Gage Individual Corporate DirectorExecutive VP/Cfo Jun 21, 2016
Afsheen Davis Individual Corporate DirectorSecretary Sep 18, 2025
Brandy N Hebert Individual W-2 Managing EmployeeDirector Jan 1, 2019
Charles Park Shaper Individual Corporate DirectorBoard of Director Sep 18, 2025
Tymothi Tombar Individual Corporate DirectorBoard of Director Sep 18, 2025
Scott Wulfe Individual Corporate DirectorBoard of Director Sep 18, 2025

Practitioners & affiliated clinicians

Practitioners 406

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 406

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1194507947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BATES AVE",
            "address_2": "FC 1440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 N LAKE CREEK PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787176210",
            "telephone_number": "727-229-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "WELDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "832-828-3660"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "281PC2000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Children's Hospital North Austin Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Children's Hospital North Austin Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.