PAVILION PEDIATRIC CENTER, LLC
NPI 1063887438
Pediatrics in Muncie, IN

Q: What is Pavilion Pediatric Center, LLC's NPI number?

The NPI number for Pavilion Pediatric Center, LLC is 1063887438. It was assigned to this organization in the NPPES registry on December 10, 2015. The provider is doing business as Rector Pediatrics.

Q: What is Pavilion Pediatric Center, LLC's specialty?

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

Active since December 10, 2015CLIA 15D0360049 · Waiver

3711 N. EVERBROOK LANE, MUNCIE, IN 47304(765) 231-9494(765) 587-4456 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2025, Dec 17, 2015, Dec 10, 2015 (3 updates tracked since 2015).

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About Pavilion Pediatric Center, Llc NPPES

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

PAVILION PEDIATRIC CENTER, LLC (NPI 1063887438), doing business as Rector Pediatrics, is a healthcare organization registered as a pediatrics in Muncie, Indiana and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Nicole Rector, Owner, as its authorized official.

NPPES Registry Identity

NPI1063887438

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePAVILION PEDIATRIC CENTER, LLC

Location Address3711 N. EVERBROOK LANEMuncie, IN 47304-5270

Mailing Address3711 N. Everbrook LaneMuncie, IN 47304-5270 · (765) 231-9494 · Fax (765) 587-4456

Phone(765) 231-9494

Fax(765) 587-4456

Organization SubpartNo

Authorized OfficialNicole RectorOwner · (765) 231-9494

Enumeration DateDecember 10, 2015

Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration

✔ NPI 1063887438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

3711 N. EVERBROOK LANE, Muncie, IN 47304

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Other Names 1

Doing Business AsRector Pediatrics

Other Identifiers 3

Medicaid201328850IN

Medicaid201337310AIN

Medicaid100362560IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 15D0360049

Pavilion Pediatric Center, LLC · Muncie, IN

Active · expires Jul 23, 2027

CLIA Number15D0360049

Laboratory TypePhysician Office

Certificate Effective DateJuly 24, 2025

Certificate Expiration DateJuly 23, 2027

Laboratory DirectorPrakash Bhoopalam

Laboratory Phone(765) 231-9494

Laboratory LocationPavilion Pediatric Center, LLC3711 N Everbrook Lane, Muncie, IN 47304

CLIA data matches this NPI record on: Address Name Phone

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 Pavilion Pediatric Center, LLC's NPI number?

The NPI number for Pavilion Pediatric Center, LLC is 1063887438. It was assigned to this organization in the NPPES registry on December 10, 2015. The provider is doing business as Rector Pediatrics.

Where is Pavilion Pediatric Center, LLC located?

Pavilion Pediatric Center, LLC is located at 3711 N. Everbrook Lane, Muncie, IN 47304. The listed phone number is (765) 231-9494.

What is Pavilion Pediatric Center, LLC's specialty?

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

Does Pavilion Pediatric Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0360049) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pavilion Pediatric Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Pavilion Pediatric Center, LLC 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 Pavilion Pediatric Center, LLC was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.