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LEGACY PEDIATRICS PLLC
NPI 1023797800
Pediatrics in Richmond, TX

Active since July 18, 2023CLIA 45D2325610 · Waiver
7103 S PEEK RD UNIT 3, RICHMOND, TX 77407(216) 466-2063 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2023, Jul 18, 2023 (2 updates tracked since 2023).

About Legacy Pediatrics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY PEDIATRICS PLLC (NPI 1023797800) is a healthcare organization registered as a pediatrics in Richmond, Texas and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Dhananjay Deoskar, Md, as its authorized official.

NPPES Registry Identity

NPI1023797800
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLEGACY PEDIATRICS PLLC
Location Address7103 S PEEK RD UNIT 3Richmond, TX 77407-3498
Mailing Address7103 S Peek Rd Unit 3Richmond, TX 77407-3498 · (216) 466-2063
Phone(216) 466-2063
Organization SubpartNo
Authorized OfficialDhananjay DeoskarMd · (216) 466-2063
Enumeration DateJuly 18, 2023
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1023797800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7103 S PEEK RD UNIT 3, Richmond, TX 77407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2325610

Legacy Pediatrics · Richmond, TX
Active · expires Jun 16, 2027
CLIA Number45D2325610
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorDhananjay S. Deoskar
Laboratory Phone(346) 620-6850
Laboratory LocationLegacy Pediatrics7103 South Peek Road, Unit 500, Richmond, TX 77407
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Pediatrics PLLC's NPI number?

The NPI number for Legacy Pediatrics PLLC is 1023797800. It was assigned to this organization in the NPPES registry on July 18, 2023.

Where is Legacy Pediatrics PLLC located?

Legacy Pediatrics PLLC is located at 7103 S Peek Rd Unit 3, Richmond, TX 77407. The listed phone number is (216) 466-2063.

What is Legacy Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Legacy Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2325610) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Legacy Pediatrics PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Legacy Pediatrics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Pediatrics PLLC was last updated on October 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.