TROPHY CLUB PEDIATRICS PA
NPI 1083034839
Clinic/Center - Primary Care in Trophy Club, TX
About Trophy Club Pediatrics Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TROPHY CLUB PEDIATRICS PA (NPI 1083034839) is a healthcare organization registered as a primary care in Trophy Club, Texas and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Charles O Onyeama, Pediatrician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 45D2155054
Trophy Club Pediatrics - Bedford · Bedford, TXFrequently 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 Trophy Club Pediatrics PA's NPI number?
The NPI number for Trophy Club Pediatrics PA is 1083034839. It was assigned to this organization in the NPPES registry on April 21, 2014.
Where is Trophy Club Pediatrics PA located?
Trophy Club Pediatrics PA is located at 2811 Mona Vale Rd, Trophy Club, TX 76262. The listed phone number is (708) 574-4199.
What is Trophy Club Pediatrics PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Trophy Club Pediatrics PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2155054) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Trophy Club Pediatrics PA accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Trophy Club Pediatrics PA 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 Trophy Club Pediatrics PA was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Trophy Club Pediatrics Pa · NPI 1083034839
Primary Care organization in Trophy Club, Texas. Organization record, active in the CMS NPPES registry since April 21, 2014.
## Identity
- **NPI:** 1083034839 (Entity type: Organization)
- **Enumerated:** April 21, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Charles Onyeama, PEDIATRICIAN
## Practice location
- **Address:** 2811 MONA VALE RD, Trophy Club, TX 76262-3479
- **Phone:** (708) 574-4199
## Record status
- **NPPES last updated:** August 13, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083034839) · Data from the CMS NPPES public registry.