Organization Active NPI

Panda Pediatrics

  • Pediatrics Physician
  • Leander, TX
National Provider Identifier
1962922633
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K7798 Issued in TX
Legal business name
PANDA PEDIATRICS
Practice address
10824 E Crystal Falls Pkwy Ste 201
Leander, TX 78641-4301
Phone
(512) 528-6100
Fax
(512) 528-6200
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Dr. Joanne Raquel Li-Pelaez, DONPI 1104024207
Title
Physician/Partner
Phone
(512) 528-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K7798 TX Primary

Addresses

Primary practice location

10824 E Crystal Falls Pkwy Ste 201
Leander, TX 78641-4301

Mailing address

10824 E Crystal Falls Pkwy Ste 201
Leander, TX 78641-4301
Phone (512) 528-6100

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
45D2135837Panda Pediatrics10824 E Crystal Falls Pkwy Ste 201, Leander, TX 78641Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Locations

10824 E Crystal Falls Pkwy
Ste 201
Leander, TX 78641
Phone (512) 528-6100

Practitioners & affiliated clinicians

Practitioners 2

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": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1962922633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10824 E CRYSTAL FALLS PKWY STE 201",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414301",
            "telephone_number": "512-528-6100",
            "fax_number": "512-528-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10824 E CRYSTAL FALLS PKWY STE 201",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414301",
            "telephone_number": "512-528-6100",
            "fax_number": "512-528-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "LI-PELAEZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "RAQUEL",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "512-528-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.