Organization Active NPI

Pediatric Associates of Frisco Inc

  • Pediatrics Physician
  • Frisco, TX
National Provider Identifier
1205330586
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q6688 Issued in TX
Legal business name
PEDIATRIC ASSOCIATES OF FRISCO INC
Practice address
9191 Kyser Way Ste 405
Frisco, TX 75033-2784
Phone
(815) 980-5520
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Sreemdevi Ramakrishnan, MD
Title
Ceo
Phone
(815) 980-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Q6688 TX Primary

Addresses

Primary practice location

9191 Kyser Way Ste 405
Frisco, TX 75033-2784

Mailing address

2441 Gelding LN
Frisco, TX 75034-4734

Other names 1

  • PEDIATRIC ASSOCIATES OF FRISCO Doing business as

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
45D2148138Pediatric Associates of Frisco9191 Kyser Way Suite 500, Frisco, TX 75033Certificate of waiverMay 3, 2028

National Provider Directory

National Provider Directory

Locations

9191 Kyser Way
Ste 405
Frisco, TX 75033
Phone (815) 980-5520

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1205330586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 GELDING LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 KYSER WAY STE 405",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332784",
            "telephone_number": "815-980-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF FRISCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "RAMAKRISHNAN",
        "authorized_official_first_name": "SREEMDEVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-980-5520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q6688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC ASSOCIATES OF FRISCO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEDIATRIC ASSOCIATES OF FRISCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.