NPIMap

Organization Active NPI

Texas Childrens Hospital

Doing business as Pediatric Pathology Consultants

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
National Provider Identifier
1285403642
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
TEXAS CHILDRENS HOSPITAL
Doing business as
Pediatric Pathology Consultants
Practice address
9835 N Lake Creek Pkwy
Austin, TX 78717-6210
Phone
(727) 229-3333
NPI assigned
Dec 27, 2023
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
James Versalovic, MDNPI 1295772416
Title
Pathologist in Chief
Phone
(832) 828-3660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

9835 N Lake Creek Pkwy
Austin, TX 78717-6210

Mailing address

1102 Bates Ave
Mail Code Fc1450
Houston, TX 77030
Phone (832) 828-3660

Other names 1

  • Pediatric Pathology Consultants Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000826 TX Part B Supplier - Clinic/Group Practice 0244298446 Receives reassigned benefits from 35 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: The Woodlands, TX; Houston, TX; Austin, TX

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Pathology Consultants3 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

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Practitioners & affiliated clinicians

Practitioners 51

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 51

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1285403642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BATES AVE",
            "address_2": "MAIL CODE FC1450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "832-828-3660"
        },
        {
            "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 CHILDRENS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "VERSALOVIC",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PATHOLOGIST IN CHIEF",
        "authorized_official_telephone_number": "832-828-3660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Pathology Consultants",
            "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 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.