Organization Active NPI

Dell Children's Medical Group

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1326072943
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080052604OtherTXCSHCN

Other names 1

  • 'Specially for Children Children's Hospital Subspecialists of Central Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

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 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
45D0902751Dell Children's Medical Group1301 Barbara Jordan Boulevard Suite 302, Austin, TX 78723Certificate of waiverDec 15, 2026
45D0958775Specially for Children Children's Hospital1301 Barbara Jordan Blvd Suite 2ND,3Rd, & 4TH, Austin, TX 78723Provider-performed microscopyMay 6, 2027

National Provider Directory

National Provider Directory

Locations (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.

View all 661

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.

Verify at the official NPI Registry.