NPIMap

Organization Active NPI

Children's Physician Services of South Texas

Doing business as Children's Radiology Services of South Texas

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
National Provider Identifier
1598737124
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
Doing business as
Children's Radiology Services of South Texas
Practice address
3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone
(361) 694-1684
Fax
(361) 808-2135
NPI assigned
Feb 7, 2006
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Dale Obermueller
Title
Administrator
Phone
(361) 694-1684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X TX Primary

Addresses

Primary practice location

3533 S Alameda St
Corpus Christi, TX 78411-1721

Mailing address

PO Box 9336
Corpus Christi, TX 78469-9336
Phone (361) 694-1603

Other names 1

  • CHILDREN'S RADIOLOGY SERVICES OF SOUTH TEXAS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001704 TX Part B Supplier - Clinic/Group Practice 3678478872 Receives reassigned benefits from 521 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Children's Physician Services of South Texas

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 167

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 167

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1598737124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9336",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784699336",
            "telephone_number": "361-694-1603",
            "fax_number": "361-694-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-1684",
            "fax_number": "361-808-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "OBERMUELLER",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-694-1684"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN'S RADIOLOGY SERVICES OF SOUTH TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.