AIRLINE PEDIATRICS, P.A.
NPI 1073644852
Pediatrics in Victoria, TX

Active since March 07, 2007CLIA 45D0927529 · Waiver
601 E AIRLINE RD, VICTORIA, TX 77901(361) 575-8500(361) 575-8416 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Airline Pediatrics, P.a. NPPES

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

AIRLINE PEDIATRICS, P.A. (NPI 1073644852), doing business as Suresh N. Pathikonda, M.d, P.a., is a healthcare organization registered as a pediatrics in Victoria, Texas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Suresh N Pathikonda, Owner, as its authorized official.

NPPES Registry Identity

NPI1073644852
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameAIRLINE PEDIATRICS, P.A.
Location Address601 E AIRLINE RDVictoria, TX 77901-3926
Mailing Address601 E Airline RdVictoria, TX 77901-3926 · (361) 575-8500 · Fax (361) 575-8416
Fax(361) 575-8416
Organization SubpartNo
Authorized OfficialSuresh N PathikondaOwner · (361) 575-8500
Enumeration DateMarch 7, 2007
Last NPPES UpdateJune 6, 2013
NPI 1073644852 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.

601 E AIRLINE RD, Victoria, TX 77901

Other Names 1

Former Legal Business NameSuresh N. Pathikonda, M.d, P.a.

Other Identifiers 4

Medicaid079684902TX
Other0039AZTX · Bcbs Group
Medicare ID-Type Unspecified88070BTX · Medicare Group
Medicaid079684901TX

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

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 45D0927529

Airline Pediatrics PA · Victoria, TX
Active · expires Apr 21, 2027
CLIA Number45D0927529
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorSuresh N. Pathikonda MD
Laboratory Phone(361) 575-8500
Laboratory LocationAirline Pediatrics PA601 East Airline Road, Victoria, TX 77901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
601 E AIRLINE RD
VICTORIA, TX 77901
Pediatrics
601 E AIRLINE RD
VICTORIA, TX 77901
Pediatrics
601 E AIRLINE RD
VICTORIA, TX 77901
Nurse Practitioner (Pediatrics)
601 E AIRLINE RD
VICTORIA, TX 77901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073644852, enumerated as an "organization" on March 07, 2007.

The provider is located at 601 E AIRLINE RD VICTORIA, TX 77901 and the phone number is (361) 575-8500.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.