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KINDBODY OF TX MEDICAL PRACTICE
NPI 1083295638
Clinic/Center - Ambulatory Fertility Facility in Austin, TX

Active since April 15, 2021CLIA Certified · 3 labs
100 COLORADO ST, AUSTIN, TX 78701(855) 563-2639 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kindbody Of Tx Medical Practice NPPES

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

KINDBODY OF TX MEDICAL PRACTICE (NPI 1083295638) is a healthcare organization registered as an ambulatory fertility facility in Austin, Texas and active in the NPI registry since April 2021. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Fahimeh Sasan, Founding Obgyn, as its authorized official.

NPPES Registry Identity

NPI1083295638
Entity TypeOrganization
Primary Taxonomy261QA0006X
Legal Business NamePEACH STATE MEDICAL PRACTICE, PC
Location Address100 COLORADO STAustin, TX 78701-4147
Mailing Address333 S Desplaines St Ste 201Chicago, IL 60661-5514 · (855) 563-2639
Phone(855) 563-2639
Organization SubpartNo
Authorized OfficialFahimeh SasanFounding Obgyn · (855) 563-2639
Enumeration DateApril 15, 2021
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1083295638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory Fertility FacilityAmbulatory Health Care Facilities
Taxonomy Code261QA0006X
Definition
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)
Also ListedClinic/Center · Family Planning, Non-SurgicalTaxonomy 261QF0050X
100 COLORADO ST, Austin, TX 78701
Open in Google Maps ↗

Other Names 1

Doing Business AsKindbody Of Tx Medical Practice

Secondary Practice Locations 2

Location 11111 Uptown Park Blvd Ste 2Houston, TX 77056-3224 · Phone (281) 719-9355
Location 28041 Walnut Hill Ln Ste 870Dallas, TX 75231-0954 · Phone (214) 295-7712

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 3

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 Accreditation 45D2268962

Kindbody Of Tx Medical Practice · Dallas, TX
Active · expires Oct 31, 2027
CLIA Number45D2268962
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDr. Harold F. Rodriguez
Laboratory Phone(214) 295-7712
Laboratory LocationKindbody Of Tx Medical Practice8041 Walnut Hill Ln. Unit 870, Dallas, TX 75231
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D2224370

Peach State Medical Pratice Dba Kindbody Of Texas Medical Pratice · Austin, TX
Active · expires Jul 12, 2028
CLIA Number45D2224370
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorDr. Harold F. Rodriguez
Laboratory Phone(737) 787-7806
Laboratory LocationPeach State Medical Pratice Dba Kindbody Of Texas Medical Pratice100 Colorado Street, Austin, TX 78701
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 45D2260309

Peach State Medical Practice Dba Kindbody Of Texas Medical Practice · Houston, TX
Active · expires Oct 17, 2027
CLIA Number45D2260309
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorDr. Harold F. Rodriguez
Laboratory Phone(281) 719-9355
Laboratory LocationPeach State Medical Practice Dba Kindbody Of Texas Medical Practice1111-02 Uptown Park Blvd, Houston, TX 77056
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

MS. JACQUELINE FLORES NP
Nurse Practitioner (Women's Health)
100 COLORADO ST
AUSTIN, TX 78701
Travis County (787) 737-7806

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 Peach State Medical Practice, PC's NPI number?

The NPI number for Peach State Medical Practice, PC is 1083295638. It was assigned to this organization in the NPPES registry on April 15, 2021. The provider is doing business as Kindbody Of Tx Medical Practice.

Where is Peach State Medical Practice, PC located?

Peach State Medical Practice, PC is located at 100 Colorado St, Austin, TX 78701. The listed phone number is (855) 563-2639.

What is Peach State Medical Practice, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Fertility Facility, with taxonomy code 261QA0006X.

Does Peach State Medical Practice, PC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Peach State Medical Practice, PC accept?

Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Peach State Medical Practice, PC 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 Peach State Medical Practice, PC was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.