Active NPI
Dell Children's Medical Group
- Pediatrics Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- DELL CHILDREN'S MEDICAL GROUP
- Practice address
- 1301 Barbara Jordan Blvd Ste 200
Austin, TX 78723-3078 - Phone
- (512) 628-1800
- Fax
- (512) 628-1801
- NPI assigned
- Jul 10, 2006
- Last updated
- Jun 27, 2023
- Organization subpart
- No
NPPES NPI Registry
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 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Clinical Genetics (M.D.) Physician | 207SG0201X | |||
| Pediatrics Physician | 208000000X | Primary | ||
| Pediatric Allergy/Immunology Physician | 2080P0201X | |||
| Pediatric Endocrinology Physician | 2080P0205X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | |||
| Pediatric Hematology & Oncology Physician | 2080P0207X | |||
| Pediatric Infectious Diseases Physician | 2080P0208X | |||
| Pediatric Nephrology Physician | 2080P0210X | |||
| Pediatric Rheumatology Physician | 2080P0216X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | |||
| Hospitalist Physician | 208M00000X | |||
| Audiologist-Hearing Aid Fitter | 237600000X |
Addresses
Primary practice location
1301 Barbara Jordan Blvd Ste 200
Austin, TX 78723-3078
Mailing address
1301 Barbara Jordan Blvd Ste 200
Austin, TX 78723-3078
Phone (512) 628-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080052604 | Other | TX | CSHCN |
Other names 1
- 'Specially for Children Children's Hospital Subspecialists of Central
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041112001030 | TX | Part B Supplier - Clinic/Group Practice | 8224092978 |
Receives reassigned benefits from 610 practitioners 1 other NPI on this enrollment |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Dell Children's Medical Group Sleep Center
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
8224092978
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0902751 | Dell Children's Medical Group | Certificate of waiver | Dec 15, 2026 |
| 45D0958775 | Specially for Children Children's Hospital | Provider-performed microscopy | May 6, 2027 |
National Provider Directory
National Provider DirectoryLocations (25 of 35)
11111 Research Blvd
Ste 120
Austin, TX 78759
11111 Research Blvd
Ste 220
Austin, TX 78759
Phone (512) 324-6755
11111 Research Blvd
Ste 240
Austin, TX 78759
Phone (512) 324-6755
1301 Barbara Jordan Blvd
Ste 320
Austin, TX 78723
1301 Barbara Jordan Blvd
Ste 402
Austin, TX 78723
Phone (512) 628-1910
1301 W 38th St
Ste 315
Austin, TX 78705
Phone (512) 324-3340
1410 Ih 35 N
Austin, TX 78701
Phone (512) 472-6134
1410 Ih 35 N
Ste 200
Austin, TX 78701
Phone (512) 324-8851
1600 W 38th St
Ste 320
Austin, TX 78731
Phone (512) 324-3560
3001 Palm Way
Ste 134138
Austin, TX 78758
4900 Mueller Blvd
Ste 100
Austin, TX 78723
4910 Mueller Blvd
Austin, TX 78723
Phone (412) 327-4941
4910 Mueller Blvd
#102
Austin, TX 78723
Phone (512) 777-2917
4910 Mueller Blvd
Ste 103
Austin, TX 78723
Phone (512) 324-0040
4910 Mueller Blvd
Ste 200
Austin, TX 78723
Phone (512) 324-3315
5339 N Interstate 35
Ste Frontage
Austin, TX 78723
6811 Austin Center Blvd
Austin, TX 78731
Phone (512) 346-8888
6811 Austin Center Blvd
#411
Austin, TX 78731
7506 Pineleaf Pl
Ste 200
Austin, TX 78757
9010 N Lake Creek Pkwy
Ste 100
Austin, TX 78717
9010 N Lake Creek Pkwy
Ste 201
Austin, TX 78717
Phone (512) 324-2720
9010 N Lake Creek Pkwy
Ste 202
Austin, TX 78717
9010 N Lake Creek Pkwy
Ste 302
Austin, TX 78717
1301 Medical Pkwy
Ste 320
Cedar Park, TX 78613
Phone (512) 260-7867
1401 Medical Pkwy
Ste 320
Cedar Park, TX 78613
Phone (512) 324-4816
Practitioners & affiliated clinicians
Practitioners 661
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.
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1013915065
-
- Pediatrics Physician
- Austin, TX
- NPI 1427084797
-
- Pediatric Nurse Practitioner
- Austin, TX
- NPI 1821545948
-
- Pediatrics Physician
- Round Rock, TX
- NPI 1114293834
-
- Pediatric Critical Care Medicine Physician
- Austin, TX
- NPI 1548373079
-
- Pediatric Hospice and Palliative Medicine Physician
- Austin, TX
- NPI 1477182376
Pediatrics
-
- Pediatrics Physician
- Austin, TX
- NPI 1235499781
-
- Physician Assistant
- Austin, TX
- NPI 1992590871
-
- Pediatric Nurse Practitioner
- Houston, TX
- NPI 1447768916
-
- Pediatrics Physician
- Austin, TX
- NPI 1740246743
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1447627989
-
- Pediatrics Physician
- Austin, TX
- NPI 1174985840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687824000000",
"number": "1326072943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-628-1800",
"fax_number": "512-628-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARBARA JORDAN BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233078",
"telephone_number": "512-628-1800",
"fax_number": "512-628-1801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELL CHILDREN'S MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"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": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "080052604",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "'Specially for Children Children's Hospital Subspecialists of Central",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Jun 27, 2023; 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.