Organization Active NPI

Pediatric Endocrine and Diabetes Associates, PLLC

Doing business as Genesis Pediatric Endocrinology

  • Pediatric Endocrinology Physician
  • Edinburg, TX
National Provider Identifier
1942616024
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
PEDIATRIC ENDOCRINE AND DIABETES ASSOCIATES, PLLC
Doing business as
Genesis Pediatric Endocrinology
Practice address
5105 S McColl Rd
Edinburg, TX 78539-8278
Phone
(956) 307-9254
Fax
(949) 863-2674
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Authorized official

Name
Shriram Krishnan
Title
Practice Director
Phone
(216) 502-6465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0205X Primary

Addresses

Primary practice location

5105 S McColl Rd
Edinburg, TX 78539-8278

Mailing address

5105 S McColl Rd
Edinburg, TX 78539-8278
Phone (956) 307-9254

Other practice location 1

844 Central Blvd
Brownsville, TX 78520-7552
Phone (956) 307-9254

Other identifiers 1

IdentifierTypeStateIssuer
3540221MedicaidTX

Other names 1

  • Genesis Pediatric Endocrinology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214000140 TX Part B Supplier - Clinic/Group Practice 4880995091 Receives reassigned benefits from 2 practitioners
Practice locations: Edinburg, TX; Brownsville, TX

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
45D2080168Pediatric Endocrine and Diabetes Associates PLLC5105 South McColl Road, Edinburg, TX 78539AccreditationNov 24, 2027

National Provider Directory

National Provider Directory

Locations

844 Central Blvd
Ste 330
Brownsville, TX 78520
Phone (956) 307-9254

5105 S McColl Rd
Edinburg, TX 78539
Phone (956) 307-9254

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781308800000",
    "number": "1942616024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398278",
            "telephone_number": "956-307-9254",
            "fax_number": "949-863-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398278",
            "telephone_number": "956-307-9254",
            "fax_number": "949-863-2674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "844 Central Blvd",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785207552",
            "country_code": "US",
            "telephone_number": "956-307-9254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINE AND DIABETES ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "SHRIRAM",
        "authorized_official_title_or_position": "PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "216-502-6465"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3540221",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Pediatric Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; 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.