NPIMap

Organization Active NPI

Dell Children's Medical Group

  • Pediatrics Physician
  • Round Rock, TX
National Provider Identifier
1790103869
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
1000 Hesters Crossing Rd
Round Rock, TX 78681-8020
Phone
(512) 628-1800
Fax
(512) 628-1801
NPI assigned
Apr 4, 2014
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 14

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NU
Pediatric Dermatology Physician 207NP0225X NU
Pediatrics Physician 208000000X NU Primary
Developmental - Behavioral Pediatrics Physician 2080P0006X NU
Pediatric Allergy/Immunology Physician 2080P0201X NU
Pediatric Endocrinology Physician 2080P0205X NU
Pediatric Gastroenterology Physician 2080P0206X NU
Pediatric Hematology & Oncology Physician 2080P0207X NU
Pediatric Infectious Diseases Physician 2080P0208X NU
Pediatric Nephrology Physician 2080P0210X NU
Pediatric Rheumatology Physician 2080P0216X NU
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU
Audiologist-Hearing Aid Fitter 237600000X NU
Pediatric Hospice and Palliative Medicine Physician 2080H0002X NU

Addresses

Primary practice location

1000 Hesters Crossing Rd
Round Rock, TX 78681-8020

Mailing address

1301 Barbara Jordan Blvd
Suite 200
Austin, TX 78723-3077
Phone (512) 628-1800

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
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

3705 Medical Pkwy
Ste 200
Austin, TX 78705
Phone (512) 324-2720

4910 Mueller Blvd
Ste 300
Austin, TX 78723
Phone (512) 324-0907

1301 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 324-0975

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Practitioners & affiliated clinicians

Practitioners 194

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 194

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1790103869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233077",
            "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": "1000 HESTERS CROSSING RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818020",
            "telephone_number": "512-628-1800",
            "fax_number": "512-628-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELL CHILDREN'S MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "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": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "'Specially for Children Children's Hospital Subspecialists of Central",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Round Rock, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.